CLIA lab
CLIA 05D2290597: Shima Hadidchi M.D A Professional Corp
Apple Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2290597 belongs to Shima Hadidchi M.D A Professional Corp in Apple Valley, CA.
Certificate of Waiver, effective September 27, 2025, expires September 26, 2027.
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
- September 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2023
- 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
- 05D2290597
- Lab name
- Shima Hadidchi M.D A Professional Corp
- Additional name
- DBA Family Practice
- Address
- 18112 US Highway 18 Suite 102, Apple Valley, CA 92307
- Phone
- (760) 998-1999
- Fax
- (760) 881-8555
Annual test volume the lab reported
- Waived tests
- 102,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Apple Valley, CA
- A Womens Health and Maternity CenterCertificate of Waiver, Physician office05D0988920
- Advanced Dermatology, Thomas J Hoffmann, MDCertificate of Compliance, Physician office05D0688866
- Andres A. De La Llana, MD IncCertificate of Waiver, Physician office05D2135649
- Apple Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0726452
- Apple Valley Outpatient Surgical CenterCertificate of Waiver, Ambulatory surgery center05D2029279
- Apple Valley Recovery CenterCertificate of Waiver, Other05D2309633
- Birth and Womens Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office05D0952560
- Carelon HealthCertificate of Waiver, Physician office05D2011858
- Carewell Medical Group, IncCertificate of Waiver, Physician office05D2290175
- Choice Healthcare AssociatesCertificate of Waiver, Physician office05D2272125
Related
Questions
What is the CLIA number for Shima Hadidchi M.D A Professional Corp in Apple Valley?
05D2290597, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shima Hadidchi M.D A Professional Corp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2290597 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.