CLIA lab
CLIA 05D1084500: Heritage Victor Valley Medical Group
Victorville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1084500 belongs to Heritage Victor Valley Medical Group in Victorville, CA.
Certificate of Compliance, effective May 27, 2023, expires October 31, 2026.
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 Compliance
- Certificate effective
- May 27, 2023
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 23, 2008
- Facility type
- Other
- 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
- 05D1084500
- Lab name
- Heritage Victor Valley Medical Group
- Address
- 12370 Hesperia Rd Ste 15, Attn Angela Mendoza (urgent Care Lab), Victorville, CA 92395
- Phone
- (760) 261-5292
- Fax
- (760) 269-1292
Annual test volume the lab reported
- Waived tests
- 86,671
- Other nonwaived tests
- 30,281
- Total
- 116,952
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ahmed Medical CorpCertificate of Waiver, Physician office05D0956908
- Allay 4 Hospice, IncCertificate of Waiver, Hospice05D2210086
- Amargosa Family ClinicCertificate of Waiver, Physician office05D2143974
- Anupama Sharma, MD IncCertificate of Waiver, Physician office05D1107051
- Arthur E Jimenez, MD IncCertificate of Waiver, Physician office05D0962014
- Ashok Melvani, MDCertificate of Waiver, Physician office05D0920510
- Ashvin Bhutwala MDCertificate of Waiver, Physician office05D0903715
- Aspen Pediatric Clinic IncCertificate of Waiver, Physician office05D1034135
- Bear Valley Urgent CareCertificate of Waiver, Physician office05D2109012
Related
Questions
What is the CLIA number for Heritage Victor Valley Medical Group in Victorville?
05D1084500, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Heritage Victor Valley Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1084500 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect May 27, 2023.