CLIA lab
CLIA 05D0702618: Scpmg Heacock Medical Offices
Moreno Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0702618 belongs to Scpmg Heacock Medical Offices in Moreno Valley, CA.
Certificate of Waiver, effective January 6, 2026, expires January 5, 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 of Waiver
- Certificate effective
- January 6, 2026
- Certificate expiration
- January 5, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0702618
- Lab name
- Scpmg Heacock Medical Offices
- Address
- 12815 Heacock Avenue, Moreno Valley, CA 92553
- Phone
- (951) 353-4061
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 10,000
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 Heacock Medical Offices in Moreno Valley?
05D0702618, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Heacock Medical Offices hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0702618 expire?
The CMS file lists January 5, 2028 as the certificate expiration date; the certificate took effect January 6, 2026.