CLIA lab
CLIA 05D1091084: CMG Clinical Laboratory and
Pomona, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1091084 belongs to CMG Clinical Laboratory and in Pomona, CA.
Certificate of Waiver, effective October 24, 2026, expires October 23, 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
- October 24, 2026
- Certificate expiration
- October 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 2008
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1091084
- Lab name
- CMG Clinical Laboratory and
- Additional name
- Ancillary Services Inc
- Address
- 1866 N Orange Grove Ave Ste 101, Pomona, CA 91767
- Phone
- (909) 398-1550
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pomona, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0686988
- All American Community Health Center IncCertificate of Waiver, Community clinic05D2274135
- Allegiant Healthcare, IncCertificate of Waiver, Home health agency05D2172969
- Altamed - Pace PomonaCertificate of Waiver, Federally qualified health center05D2318142
- American National Red CrossCertificate of Accreditation, Blood bank05D0642412
- American National Red Cross - Pomona, theCertificate of Waiver, Blood bank05D2239874
- Antonio M Garcia, MDCertificate of Waiver, Physician office05D0887027
- Biolife Plasma Services LPCertificate of Compliance, Other05D2232344
- CP Inland Empire S-Ca, LLC DBA Providence at HomeCertificate of Waiver, Home health agency05D0955932
- Calcare Home Health IncCertificate of Waiver, Home health agency05D1014328
Related
Questions
What is the CLIA number for CMG Clinical Laboratory and in Pomona?
05D1091084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does CMG Clinical Laboratory and hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1091084 expire?
The CMS file lists October 23, 2028 as the certificate expiration date; the certificate took effect October 24, 2026.