CLIA lab

CLIA 05D1099676: Scpmg Mohs Laboratory - Baldwin Park

Baldwin Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1099676 belongs to Scpmg Mohs Laboratory - Baldwin Park in Baldwin Park, CA.

Certificate of Compliance, effective January 21, 2022, 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
January 21, 2022
Certificate expiration
October 31, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2009
Facility type
Health maintenance organization
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1099676
Lab name
Scpmg Mohs Laboratory - Baldwin Park
Additional name
Medical Center
Address
1011 Baldwin Park Blvd, Hns Dept, 3rd Fl, Rm 3708, Baldwin Park, CA 91706
Phone
(626) 851-5141
Fax
(818) 503-6532

Annual test volume the lab reported

Other nonwaived tests
850

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Baldwin Park, CA

Related

Questions

What is the CLIA number for Scpmg Mohs Laboratory - Baldwin Park in Baldwin Park?

05D1099676, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Mohs Laboratory - Baldwin Park hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D1099676 expire?

The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect January 21, 2022.

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