CLIA lab

CLIA 05D2004840: Gary L Baker, MD A Professional Corporation

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

CLIA number 05D2004840 belongs to Gary L Baker, MD A Professional Corporation in Rancho Cucamonga, CA.

Certificate of Waiver, effective March 15, 2026, expires March 14, 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
March 15, 2026
Certificate expiration
March 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 15, 2010
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
05D2004840
Lab name
Gary L Baker, MD A Professional Corporation
Address
10841 White Oak Avenue # 208, Rancho Cucamonga, CA 91730
Phone
(562) 408-0148
Fax
(909) 204-7150

Annual test volume the lab reported

Waived tests
1,000

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 Gary L Baker, MD A Professional Corporation in Rancho Cucamonga?

05D2004840, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gary L Baker, MD A Professional Corporation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2004840 expire?

The CMS file lists March 14, 2028 as the certificate expiration date; the certificate took effect March 15, 2026.

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