CLIA lab
CLIA 05D0717406: Covina Valley Urologic Medical Group, Inc
San Dimas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0717406 belongs to Covina Valley Urologic Medical Group, Inc in San Dimas, CA.
Certificate for Provider-Performed Microscopy Procedures, effective June 21, 2025, expires June 20, 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
- June 21, 2025
- Certificate expiration
- June 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 1993
- 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
- 05D0717406
- Lab name
- Covina Valley Urologic Medical Group, Inc
- Address
- 1330 West Covina Blvd, Suite #104, San Dimas, CA 91773
- Phone
- (909) 599-7528
- Fax
- (909) 592-0047
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Related
Questions
What is the CLIA number for Covina Valley Urologic Medical Group, Inc in San Dimas?
05D0717406, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Covina Valley Urologic Medical Group, Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0717406 expire?
The CMS file lists June 20, 2027 as the certificate expiration date; the certificate took effect June 21, 2025.