CLIA lab
CLIA 05D0896408: Keith Mark Gross MD Inc
Victorville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0896408 belongs to Keith Mark Gross MD Inc in Victorville, CA.
Certificate of Compliance, effective September 16, 2024, expires October 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- September 16, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0896408
- Lab name
- Keith Mark Gross MD Inc
- Address
- 12550 Hesperia Rd, Ste 218, Victorville, CA 92395
- Phone
- (760) 951-9895
- Fax
- (760) 951-2455
Annual test volume the lab reported
- Other nonwaived tests
- 180
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Victorville, CA
- Advanced Pain Management CenterCertificate of Waiver, Physician office05D1100215
- Ahmed Medical CorpCertificate of Waiver, Physician office05D0956908
- Allay 4 Hospice, IncCertificate of Waiver, Hospice05D2210086
- Amargosa Family ClinicCertificate of Waiver, Physician office05D2143974
- Anupama Sharma, MD IncCertificate of Waiver, Physician office05D1107051
- Arthur E Jimenez, MD IncCertificate of Waiver, Physician office05D0962014
- Ashok Melvani, MDCertificate of Waiver, Physician office05D0920510
- Ashvin Bhutwala MDCertificate of Waiver, Physician office05D0903715
- Aspen Pediatric Clinic IncCertificate of Waiver, Physician office05D1034135
- Bear Valley Urgent CareCertificate of Waiver, Physician office05D2109012
Related
Questions
What is the CLIA number for Keith Mark Gross MD Inc in Victorville?
05D0896408, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keith Mark Gross MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0896408 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect September 16, 2024.