CLIA lab

CLIA 05D0668047: Scpmg Bonita Medical Offices

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

CLIA number 05D0668047 belongs to Scpmg Bonita Medical Offices in Bonita, CA.

Certificate for Provider-Performed Microscopy Procedures, effective June 29, 2026, expires June 28, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
June 29, 2026
Certificate expiration
June 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Health maintenance organization
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
05D0668047
Lab name
Scpmg Bonita Medical Offices
Address
3955 Bonita Rd, Bonita, CA 91902
Phone
(619) 528-6017
Fax
(818) 503-6532

Annual test volume the lab reported

Waived tests
5,000
Provider-performed microscopy tests
50
Total
5,050

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

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for Scpmg Bonita Medical Offices in Bonita?

05D0668047, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Bonita Medical Offices hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0668047 expire?

The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.

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