CLIA lab
CLIA 05D1069106: Brockton Surgery Center
Riverside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1069106 belongs to Brockton Surgery Center in Riverside, CA.
Certificate of Waiver, effective May 29, 2025, expires May 28, 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
- May 29, 2025
- Certificate expiration
- May 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 29, 2007
- Facility type
- Ambulatory surgery center
- 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
- 05D1069106
- Lab name
- Brockton Surgery Center
- Address
- 6958 Brockton Ave, Riverside, CA 92506
- Phone
- (951) 788-4400
- Fax
- (951) 788-4460
Annual test volume the lab reported
- Waived tests
- 50
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 Brockton Surgery Center in Riverside?
05D1069106, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brockton Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1069106 expire?
The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.