CLIA lab
CLIA 05D1099902: Scpmg Preventive Medicine Health
Riverside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1099902 belongs to Scpmg Preventive Medicine Health in Riverside, CA.
Certificate of Waiver, effective May 26, 2025, expires May 25, 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
- May 26, 2025
- Certificate expiration
- May 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 26, 2009
- Facility type
- Health maintenance organization
- 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
- 05D1099902
- Lab name
- Scpmg Preventive Medicine Health
- Additional name
- Education
- Address
- 3951 Van Buren Blvd, Riverside, CA 92503
- Phone
- (951) 353-4064
- Fax
- (951) 503-6632
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
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- Alta Vista Healthcare and Wellness CentreCertificate of Waiver, Skilled nursing or nursing facility05D0575422
Related
Questions
What is the CLIA number for Scpmg Preventive Medicine Health in Riverside?
05D1099902, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Preventive Medicine Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1099902 expire?
The CMS file lists May 25, 2027 as the certificate expiration date; the certificate took effect May 26, 2025.