CLIA lab

CLIA 05D0911271: Cucamonga Valley Medical Group

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

CLIA number 05D0911271 belongs to Cucamonga Valley Medical Group in Rancho Cucamonga, CA.

Certificate of Waiver, effective March 21, 2025, expires March 20, 2027.

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
March 21, 2025
Certificate expiration
March 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 30, 1996
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
05D0911271
Lab name
Cucamonga Valley Medical Group
Address
7777 B Milliken Ae, #240, Rancho Cucamonga, CA 91730
Phone
(909) 429-2864
Fax
(909) 429-2868

Annual test volume the lab reported

Waived tests
2,500

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

Affiliated CLIA numbers

Other labs in Rancho Cucamonga, CA

Related

Questions

What is the CLIA number for Cucamonga Valley Medical Group in Rancho Cucamonga?

05D0911271, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cucamonga Valley Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0911271 expire?

The CMS file lists March 20, 2027 as the certificate expiration date; the certificate took effect March 21, 2025.

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