CLIA lab
CLIA 05D1055220: Scpmg Indio Medical Office
Indio, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1055220 belongs to Scpmg Indio Medical Office in Indio, CA.
Certificate of Waiver, effective December 14, 2024, expires December 13, 2026.
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
- December 14, 2024
- Certificate expiration
- December 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2006
- Facility type
- Health maintenance organization
- 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
- 05D1055220
- Lab name
- Scpmg Indio Medical Office
- Address
- 46-900 Monroe Street, Indio, CA 92201
- Phone
- (951) 353-4064
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Scpmg Indio Medical Office in Indio?
05D1055220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Indio Medical Office hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1055220 expire?
The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.