CLIA lab
CLIA 05D1077520: Park Sierra Medical Clinic, Inc
Colton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1077520 belongs to Park Sierra Medical Clinic, Inc in Colton, CA.
Certificate of Waiver, effective January 13, 2026, expires January 12, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 13, 2026
- Certificate expiration
- January 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 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
- 05D1077520
- Lab name
- Park Sierra Medical Clinic, Inc
- Address
- 1023 South Mount Vernon Avenue Suite N3, Colton, CA 92324
- Phone
- (909) 533-4443
- Fax
- (909) 533-4483
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Colton, CA
- A & M Surgery Center IncCertificate of Waiver, Ambulatory surgery center05D2076220
- Alliance Hospice ServicesCertificate of Waiver, Hospice05D2181565
- Angels in Route, LLCCertificate of Waiver, Home health agency05D2168341
- Apple Urgent CareCertificate of Waiver, Physician office05D2274869
- Arrowhead ClhfCertificate of Waiver, Other05D2313530
- Arrowhead Pediatrics Medical Group IncCertificate of Waiver, Physician office05D1058943
- Arrowhead Regional Medical CenterCertificate of Accreditation, Hospital05D0643254
- Arrowhead Regional Medical CenterCertificate of Accreditation, Hospital05D0694821
- Arrowhead Regional Medical CenterCertificate of Waiver, Hospital05D1061640
- Arrowhead Regional Medical CenterCertificate of Waiver, Physician office05D2291416
Related
Questions
What is the CLIA number for Park Sierra Medical Clinic, Inc in Colton?
05D1077520, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Sierra Medical Clinic, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1077520 expire?
The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.