CLIA lab
CLIA 05D1089700: Melanchton A Mangoba MD
Riverside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1089700 belongs to Melanchton A Mangoba MD in Riverside, CA.
Certificate of Waiver, effective November 7, 2025, expires November 6, 2027.
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
- November 7, 2025
- Certificate expiration
- November 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 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
- 05D1089700
- Lab name
- Melanchton A Mangoba MD
- Address
- 3838 Sherman Dr Suite #2, Riverside, CA 92503
- Phone
- (951) 686-3437
- Fax
- (951) 686-8155
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.
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- A-Quest Health Care IncCertificate of Waiver, Home health agency05D2043489
- Advance Care Services Inc, DBA Care Plus PharmacyCertificate of Waiver, Pharmacy05D2265041
- Afc Urgent Care RiversideCertificate of Accreditation, Other practitioner05D2095320
- Affinity Home Health Services, IncCertificate of Waiver, Home health agency05D1070005
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2331790
- Akeso Occupational Health - RiversideCertificate of Waiver, Physician office05D2314046
- Alta Vista Healthcare and Wellness CentreCertificate of Waiver, Skilled nursing or nursing facility05D0575422
Related
Questions
What is the CLIA number for Melanchton A Mangoba MD in Riverside?
05D1089700, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Melanchton A Mangoba MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1089700 expire?
The CMS file lists November 6, 2027 as the certificate expiration date; the certificate took effect November 7, 2025.