CLIA lab

CLIA 05D2012132: Mid Valley Surgery Center, LLC

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

CLIA number 05D2012132 belongs to Mid Valley Surgery Center, LLC in Ontario, CA.

Certificate of Waiver, effective August 30, 2026, expires August 29, 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
August 30, 2026
Certificate expiration
August 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 30, 2010
Facility type
Ambulatory surgery center
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
05D2012132
Lab name
Mid Valley Surgery Center, LLC
Address
4682 Ontario Mills Parkway, Ontario, CA 91764
Phone
(909) 204-3540
Fax
(909) 989-3007

Annual test volume the lab reported

Waived tests
50

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

Other labs in Ontario, CA

Related

Questions

What is the CLIA number for Mid Valley Surgery Center, LLC in Ontario?

05D2012132, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mid Valley Surgery Center, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2012132 expire?

The CMS file lists August 29, 2028 as the certificate expiration date; the certificate took effect August 30, 2026.

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