CLIA lab
CLIA 05D0910543: Family Medical Clinic & Urgent Care, Inc
Phelan, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0910543 belongs to Family Medical Clinic & Urgent Care, Inc in Phelan, CA.
Certificate of Waiver, effective January 11, 2026, expires January 10, 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
- January 11, 2026
- Certificate expiration
- January 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1996
- 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
- 05D0910543
- Lab name
- Family Medical Clinic & Urgent Care, Inc
- Address
- 9723 Sierra Vista Road Unit A, Phelan, CA 92371
- Phone
- (760) 868-1990
- Fax
- (760) 868-1201
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Phelan, CA
Related
Questions
What is the CLIA number for Family Medical Clinic & Urgent Care, Inc in Phelan?
05D0910543, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medical Clinic & Urgent Care, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0910543 expire?
The CMS file lists January 10, 2028 as the certificate expiration date; the certificate took effect January 11, 2026.