CLIA lab
CLIA 05D1090297: Patrick & Edivina Gonzales Med Group Inc
Murrieta, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1090297 belongs to Patrick & Edivina Gonzales Med Group Inc in Murrieta, CA.
Certificate of Waiver, effective October 7, 2026, expires October 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
- October 7, 2026
- Certificate expiration
- October 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2008
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1090297
- Lab name
- Patrick & Edivina Gonzales Med Group Inc
- Address
- 39755 Date Street # 103, Murrieta, CA 92563
- Phone
- (951) 304-3221
- Fax
- (951) 304-3229
Annual test volume the lab reported
- Waived tests
- 2,006
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Murrieta, CA
- 417 South River LLCCertificate of Waiver, Other05D2309637
- A Plus Walk in Urgent CareCertificate of Waiver, Physician office05D1009441
- Abayomi A Odubela, MD A ProfessionalCertificate of Waiver, Physician office05D0912976
- Accelerated Urgent CareCertificate of Waiver, Other05D2229938
- All Star Hospice IncCertificate of Waiver, Hospice05D2173609
- Alpha Men's Wellness DBA Gameday Men's HealthCertificate of Accreditation, Physician office05D2311414
- Amelie Wagner MDCertificate of Waiver, Physician office05D2310756
- Andrew Thio MD IncCertificate of Waiver, Physician office05D2000107
- Atiga Family PracticeCertificate of Waiver, Physician office05D1014561
- Ava Vascular Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2320645
Related
Questions
What is the CLIA number for Patrick & Edivina Gonzales Med Group Inc in Murrieta?
05D1090297, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Patrick & Edivina Gonzales Med Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1090297 expire?
The CMS file lists October 6, 2028 as the certificate expiration date; the certificate took effect October 7, 2026.