CLIA lab
CLIA 05D1066096: Lakeside Medical Organization, Medical GRP, Inc
West Covina, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1066096 belongs to Lakeside Medical Organization, Medical GRP, Inc in West Covina, CA.
Certificate of Compliance, effective September 8, 2023, expires October 31, 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 Compliance
- Certificate effective
- September 8, 2023
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 2007
- Facility type
- Other
- 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
- 05D1066096
- Lab name
- Lakeside Medical Organization, Medical GRP, Inc
- Address
- 1500 W Covina Pkwy, Ste 102, Urgent Care, West Covina, CA 91790
- Phone
- (626) 856-2248
- Fax
- (626) 960-5284
Annual test volume the lab reported
- Waived tests
- 4,245
- Other nonwaived tests
- 799
- Total
- 5,044
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Accord Hospice and Palliative Care, IncCertificate of Waiver, Hospice05D2156671
- Admirable Home Health Services IncCertificate of Waiver, Home health agency05D2310589
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0686991
- Alliant Home Health Care ServicesCertificate of Waiver, Home health agency05D1080326
- Altamed Medical Group - West CovinaCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2030472
- Altamed Medical Group-West Covina, AmarCertificate of Waiver, Federally qualified health center05D2327470
- Altamed Pace West CovinaCertificate of Waiver, Federally qualified health center05D2300702
- American Empire Home Health Care ServicesCertificate of Waiver, Home health agency05D0973701
- Apple Medical Clinic, IncCertificate of Waiver, Physician office05D2245108
- Beacon Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0877502
Related
Questions
What is the CLIA number for Lakeside Medical Organization, Medical GRP, Inc in West Covina?
05D1066096, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Medical Organization, Medical GRP, Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1066096 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect September 8, 2023.