CLIA lab

CLIA 05D0681683: Scpmg San Dimas Mob Laboratory

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

CLIA number 05D0681683 belongs to Scpmg San Dimas Mob Laboratory in San Dimas, CA.

Certificate for Provider-Performed Microscopy Procedures, effective May 9, 2025, expires May 8, 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 for Provider-Performed Microscopy Procedures
Certificate effective
May 9, 2025
Certificate expiration
May 8, 2027
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

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

Lab and contact

CLIA number
05D0681683
Lab name
Scpmg San Dimas Mob Laboratory
Address
1255 West Arrow Highway, San Dimas, CA 91773
Phone
(626) 851-5141
Fax
(818) 503-6532

Annual test volume the lab reported

Waived tests
200
Provider-performed microscopy tests
50
Total
250

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 Scpmg San Dimas Mob Laboratory in San Dimas?

05D0681683, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg San Dimas Mob Laboratory hold?

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

When does CLIA 05D0681683 expire?

The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.

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