CLIA lab
CLIA 05D0869051: Antelope Valley Impotence & Incontinence
Palmdale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0869051 belongs to Antelope Valley Impotence & Incontinence in Palmdale, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 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
- 05D0869051
- Lab name
- Antelope Valley Impotence & Incontinence
- Additional name
- Medical Center Inc
- Address
- 38921 Trade Center Dr, Palmdale, CA 93551
- Phone
- (661) 945-0601
- Fax
- (833) 974-2391
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Palmdale, CA
- A V Meridien Medical Group, IncCertificate of Waiver, Physician office05D0867646
- Accel Medical GroupCertificate of Waiver, Physician office05D2320801
- Advanced Dermatology Mobile UnitCertificate of Compliance, Mobile lab05D0979413
- Advanced Pain Medical Group IncCertificate of Waiver, Physician office05D2151765
- Alden Home Health, IncCertificate of Waiver, Home health agency05D0922457
- Alden HospiceCertificate of Waiver, Hospice05D2048613
- Amicis Research CenterCertificate of Waiver, Other05D2339053
- Anas Entabi, MDCertificate of Waiver, Physician office05D2023921
- Andrew Teperson MDCertificate of Waiver, Physician office05D1018675
- Antelope Valley Home Health Agency IncCertificate of Waiver, Home health agency05D2297229
Related
Questions
What is the CLIA number for Antelope Valley Impotence & Incontinence in Palmdale?
05D0869051, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Antelope Valley Impotence & Incontinence hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0869051 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.