CLIA lab

CLIA 05D1073520: Heritage Victor Valley Medical Group

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

CLIA number 05D1073520 belongs to Heritage Victor Valley Medical Group in Apple Valley, CA.

Certificate of Waiver, effective March 7, 2026, expires March 6, 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
March 7, 2026
Certificate expiration
March 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2007
Facility type
Physician office
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
05D1073520
Lab name
Heritage Victor Valley Medical Group
Additional name
#name?
Address
16003 Tuscola Rd Ste F, Apple Valley, CA 92307
Phone
(760) 242-8221
Fax
(760) 242-8859

Annual test volume the lab reported

Waived tests
1,400

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 Heritage Victor Valley Medical Group in Apple Valley?

05D1073520, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Heritage Victor Valley Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1073520 expire?

The CMS file lists March 6, 2028 as the certificate expiration date; the certificate took effect March 7, 2026.

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