CLIA lab
CLIA 05D0951428: Gonzales Medical Group
Menifee, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0951428 belongs to Gonzales Medical Group in Menifee, CA.
Certificate of Waiver, effective June 17, 2026, expires June 16, 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
- June 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 1998
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0951428
- Lab name
- Gonzales Medical Group
- Additional name
- Patrick and Edivina Gonzales MD'S
- Address
- 29798 Haun Road Suite 106, Menifee, CA 92584
- Phone
- (951) 301-3588
- Fax
- (951) 301-4309
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Abayomi A Odubela MD ACertificate of Waiver, Physician office05D1000089
- Advanced Dermatology, Thomas J Hoffmann MDCertificate of Compliance, Physician office05D1057914
- Brightstar CareCertificate of Waiver, Home health agency05D2065998
- CV Mehta MD Medical CorpCertificate of Waiver, Physician office05D2293807
- Children's Primary Care Medical GroupCertificate of Waiver, Physician office05D0988912
- Grace Family Health, Inc.Certificate of Waiver, Physician office05D2291137
- Menifee Dental GroupCertificate of Waiver, Other05D2287683
- Menifee Global Multi-Specialty Group IncCertificate of Waiver, Physician office05D2282664
- Menifee Home DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2091115
Related
Questions
What is the CLIA number for Gonzales Medical Group in Menifee?
05D0951428, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gonzales Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0951428 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.