CLIA lab

CLIA 05D1062828: Magnolia West Dialysis

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

CLIA number 05D1062828 belongs to Magnolia West Dialysis in Riverside, CA.

Certificate of Waiver, effective December 27, 2024, expires December 26, 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 27, 2024
Certificate expiration
December 26, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 27, 2006
Facility type
End stage renal disease dialysis facility
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
05D1062828
Lab name
Magnolia West Dialysis
Address
11161 Magnolia Ave, Riverside, CA 92505
Phone
(951) 351-8090
Fax
(951) 351-8099

Annual test volume the lab reported

Waived tests
50,000

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

Care facility at this address

Other labs in Riverside, CA

Related

Questions

What is the CLIA number for Magnolia West Dialysis in Riverside?

05D1062828, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Magnolia West Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1062828 expire?

The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.

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