CLIA lab

CLIA 05D2030472: Altamed Medical Group - West Covina

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

CLIA number 05D2030472 belongs to Altamed Medical Group - West Covina in West Covina, CA.

Certificate for Provider-Performed Microscopy Procedures, effective September 28, 2025, expires September 27, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 28, 2025
Certificate expiration
September 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 28, 2011
Facility type
Federally qualified health center
Ownership (control type)
Private
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
05D2030472
Lab name
Altamed Medical Group - West Covina
Address
1300 S Sunset Ave, West Covina, CA 91790
Phone
(626) 214-7404
Fax
(626) 960-5246

Annual test volume the lab reported

Waived tests
1
Provider-performed microscopy tests
720
Total
721

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

Other labs in West Covina, CA

Related

Questions

What is the CLIA number for Altamed Medical Group - West Covina in West Covina?

05D2030472, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Altamed Medical Group - West Covina hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2030472 expire?

The CMS file lists September 27, 2027 as the certificate expiration date; the certificate took effect September 28, 2025.

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