CLIA lab
CLIA 05D1072094: Shalom Medical Clinic Inc
Wilmington, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1072094 belongs to Shalom Medical Clinic Inc in Wilmington, CA.
Certificate of Waiver, effective January 20, 2026, expires January 19, 2028.
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
- January 20, 2026
- Certificate expiration
- January 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 8, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1072094
- Lab name
- Shalom Medical Clinic Inc
- Address
- 1721 N Wilmington Blvd, Wilmington, CA 90744
- Phone
- (310) 835-1414
- Fax
- (310) 835-4050
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wilmington, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0686997
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2272445
- Akeso Occupationalhealth-National CityCertificate of Waiver, Physician office05D2314176
- Avalon Family Med GroupCertificate of Waiver, Physician office05D0553722
- Careonsite - Tesoro WilingtonCertificate of Waiver, Industrial05D1090842
- Careonsite-Valero Wilmington RefineryCertificate of Waiver, Other05D2284448
- Comfort Family Clinic, IncCertificate of Waiver, Physician office05D2064220
- Complete Care Family Medical ClinicCertificate of Waiver, Independent05D0906594
- Gayda Y Garcia, MDCertificate of Waiver, Physician office05D1045232
- Pontus Healthcare Inc DBA 986 Pharmacy #8011Certificate of Waiver, Pharmacy05D2316558
Related
Questions
What is the CLIA number for Shalom Medical Clinic Inc in Wilmington?
05D1072094, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shalom Medical Clinic Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1072094 expire?
The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.