CLIA lab
CLIA 05D0718394: Formula Medical Group
Apple Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0718394 belongs to Formula Medical Group in Apple Valley, CA.
Certificate of Waiver, effective May 21, 2026, expires May 20, 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
- May 21, 2026
- Certificate expiration
- May 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 1995
- 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
- 05D0718394
- Lab name
- Formula Medical Group
- Address
- 18182 Highway 18 #105, Apple Valley, CA 92307
- Phone
- (760) 242-1234
- Fax
- (760) 242-5087
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Apple Valley, CA
- A Womens Health and Maternity CenterCertificate of Waiver, Physician office05D0988920
- Advanced Dermatology, Thomas J Hoffmann, MDCertificate of Compliance, Physician office05D0688866
- Andres A. De La Llana, MD IncCertificate of Waiver, Physician office05D2135649
- Apple Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0726452
- Apple Valley Outpatient Surgical CenterCertificate of Waiver, Ambulatory surgery center05D2029279
- Apple Valley Recovery CenterCertificate of Waiver, Other05D2309633
- Birth and Womens Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office05D0952560
- Carelon HealthCertificate of Waiver, Physician office05D2011858
- Carewell Medical Group, IncCertificate of Waiver, Physician office05D2290175
- Choice Healthcare AssociatesCertificate of Waiver, Physician office05D2272125
Related
Questions
What is the CLIA number for Formula Medical Group in Apple Valley?
05D0718394, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Formula Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0718394 expire?
The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.