CLIA lab
CLIA 05D0690392: Poom Medical Clinic
Perris, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0690392 belongs to Poom Medical Clinic in Perris, CA.
Certificate of Waiver, effective November 18, 2025, expires November 17, 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
- November 18, 2025
- Certificate expiration
- November 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1994
- 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
- 05D0690392
- Lab name
- Poom Medical Clinic
- Address
- 2055 N Perris Blvd Ste E6, Perris, CA 92571
- Phone
- (951) 940-4176
- Fax
- (951) 940-4038
Annual test volume the lab reported
- Waived tests
- 200
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 Poom Medical Clinic in Perris?
05D0690392, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Poom Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0690392 expire?
The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.