CLIA lab
CLIA 05D1011113: Mayflower Medical Group
Rialto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1011113 belongs to Mayflower Medical Group in Rialto, CA.
Certificate of Waiver, effective April 1, 2025, expires March 31, 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
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 Waiver
- Certificate effective
- April 1, 2025
- Certificate expiration
- March 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 1, 2003
- 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
- 05D1011113
- Lab name
- Mayflower Medical Group
- Address
- 1850 N Riverside Ave #210, Rialto, CA 92376
- Phone
- (909) 562-0012
- Fax
- (909) 562-0067
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rialto, CA
- Ace Endoscopy and Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2074177
- Arrowhead Family Health Center-WestsideCertificate for Provider-Performed Microscopy Procedures, Physician office05D2176829
- Biolife Plasma Services LPCertificate of Compliance, Other05D2217418
- CSL Plasma, IncCertificate of Compliance, Other05D2219800
- Coltin Care Homes LLCCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2326700
- Elite Family MedicineCertificate of Waiver, Physician office05D2293492
- Fontana DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0573366
- Good Shepherd Residential Care LLCCertificate of Waiver, Home health agency05D2100495
- Heacock Health Medical Group IncCertificate of Waiver, Physician office05D2344150
- Hedyeh M Golshan MD and Associates IncCertificate of Waiver, Physician office05D1077768
Related
Questions
What is the CLIA number for Mayflower Medical Group in Rialto?
05D1011113, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mayflower Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1011113 expire?
The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.