CLIA lab

CLIA 05D2001988: Grove Internal Medicine

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

CLIA number 05D2001988 belongs to Grove Internal Medicine in Rancho Cucamonga, CA.

Certificate of Waiver, effective January 5, 2026, expires January 4, 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
January 5, 2026
Certificate expiration
January 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 5, 2010
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
05D2001988
Lab name
Grove Internal Medicine
Address
8283 Grove Avenue, Suite 201, Rancho Cucamonga, CA 91730
Phone
(909) 981-6644
Fax
(909) 981-5048

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.

Other labs in Rancho Cucamonga, CA

Related

Questions

What is the CLIA number for Grove Internal Medicine in Rancho Cucamonga?

05D2001988, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grove Internal Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2001988 expire?

The CMS file lists January 4, 2028 as the certificate expiration date; the certificate took effect January 5, 2026.

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