CLIA lab

CLIA 05D0890943: Glenn P Matney MD

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

CLIA number 05D0890943 belongs to Glenn P Matney MD in Victorville, CA.

Certificate of Waiver, effective August 2, 2026, expires August 1, 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
August 2, 2026
Certificate expiration
August 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 29, 1994
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
05D0890943
Lab name
Glenn P Matney MD
Address
12402 Industrial Blvd Ste B-1, Victorville, CA 92392
Phone
(760) 245-9363

Other labs in Victorville, CA

Related

Questions

What is the CLIA number for Glenn P Matney MD in Victorville?

05D0890943, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Glenn P Matney MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0890943 expire?

The CMS file lists August 1, 2028 as the certificate expiration date; the certificate took effect August 2, 2026.

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