CLIA lab

CLIA 05D0858905: La Puente Valley Medical Group Inc

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

CLIA number 05D0858905 belongs to La Puente Valley Medical Group Inc in La Puente, CA.

Certificate of Waiver, effective January 1, 2025, expires December 31, 2026.

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 1, 2025
Certificate expiration
December 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
05D0858905
Lab name
La Puente Valley Medical Group Inc
Address
18335 Valley Boulevard, La Puente, CA 91744
Phone
(626) 810-3330
Fax
(626) 964-0400

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in La Puente, CA

Related

Questions

What is the CLIA number for La Puente Valley Medical Group Inc in La Puente?

05D0858905, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does La Puente Valley Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0858905 expire?

The CMS file lists December 31, 2026 as the certificate expiration date; the certificate took effect January 1, 2025.

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