CLIA lab

CLIA 05D0961849: California Medical Clinic, Inc

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

CLIA number 05D0961849 belongs to California Medical Clinic, Inc in Moreno Valley, CA.

Certificate of Waiver, effective June 18, 2025, expires June 17, 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
June 18, 2025
Certificate expiration
June 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 18, 1999
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0961849
Lab name
California Medical Clinic, Inc
Address
23900 Ironwood Avenue, Moreno Valley, CA 92557
Phone
(909) 485-2570
Fax
(909) 485-2070

Annual test volume the lab reported

Waived tests
900

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

Affiliated CLIA numbers

Other labs in Moreno Valley, CA

Related

Questions

What is the CLIA number for California Medical Clinic, Inc in Moreno Valley?

05D0961849, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does California Medical Clinic, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0961849 expire?

The CMS file lists June 17, 2027 as the certificate expiration date; the certificate took effect June 18, 2025.

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