CLIA lab
CLIA 05D1079199: Alav Medical Corporation
Fontana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1079199 belongs to Alav Medical Corporation in Fontana, CA.
Certificate of Waiver, effective January 28, 2026, expires January 27, 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 28, 2026
- Certificate expiration
- January 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2008
- 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
- 05D1079199
- Lab name
- Alav Medical Corporation
- Address
- 16465 Sierra Lakes Pkwy Suite 200, Fontana, CA 92336
- Phone
- (909) 429-2404
- Fax
- (909) 429-2030
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.
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Related
Questions
What is the CLIA number for Alav Medical Corporation in Fontana?
05D1079199, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alav Medical Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1079199 expire?
The CMS file lists January 27, 2028 as the certificate expiration date; the certificate took effect January 28, 2026.