CLIA lab

CLIA 05D2205730: Hisham Abukamleh MD Inc

Apple Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2205730 belongs to Hisham Abukamleh MD Inc in Apple Valley, CA.

Certificate of Waiver, effective December 15, 2024, expires December 14, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 15, 2024
Certificate expiration
December 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 15, 2020
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2205730
Lab name
Hisham Abukamleh MD Inc
Address
18182 US Highway 18 Ste 107, Apple Valley, CA 92307
Phone
(760) 515-4003
Fax
(760) 515-4505

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Hisham Abukamleh MD Inc in Apple Valley?

05D2205730, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hisham Abukamleh MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2205730 expire?

The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.

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