CLIA lab
CLIA 05D2023201: Medcor, Inc. @ Target DC
Shafter, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2023201 belongs to Medcor, Inc. @ Target DC in Shafter, CA.
Certificate of Waiver, effective April 18, 2025, expires April 17, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 18, 2025
- Certificate expiration
- April 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2011
- Facility type
- Industrial
- 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
- 05D2023201
- Lab name
- Medcor, Inc. @ Target DC
- Address
- 3880 Zachary Rd, Shafter, CA 93263
- Phone
- (661) 396-6021
- Fax
- (661) 396-6204
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shafter, CA
- Adventist Health ShafterCertificate of Waiver, Community clinic05D2018601
- ApexCertificate of Waiver, Other practitioner05D2132090
- Good Samaritan Health Center ShaferCertificate of Waiver, Rural health clinic05D2320353
- Medcor Clinic @ Ross - ShafterCertificate of Waiver, Industrial05D2153031
- Shafter Nursing Rehab LLC / Shafter Nursing CareCertificate of Waiver, Skilled nursing or nursing facility05D2305406
- Shafter PediatricsCertificate of Waiver, Physician office05D2118898
- Vanguard Medical CorporationCertificate of Waiver, Rural health clinic05D0723619
Related
Questions
What is the CLIA number for Medcor, Inc. @ Target DC in Shafter?
05D2023201, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medcor, Inc. @ Target DC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2023201 expire?
The CMS file lists April 17, 2027 as the certificate expiration date; the certificate took effect April 18, 2025.