CLIA lab
CLIA 05D2030527: Heritage Victor Valley Med GRP
Victorville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2030527 belongs to Heritage Victor Valley Med GRP in Victorville, CA.
Certificate of Waiver, effective September 29, 2025, expires September 28, 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 of Waiver
- Certificate effective
- September 29, 2025
- Certificate expiration
- September 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2011
- 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
- 05D2030527
- Lab name
- Heritage Victor Valley Med GRP
- Additional name
- Victorville Clinic
- Address
- 12408 Hesperia Road Ste. 2, Victorville, CA 92395
- Phone
- (760) 553-7000
- Fax
- (760) 269-1275
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anupama Sharma, MD IncCertificate of Waiver, Physician office05D1107051
- Arthur E Jimenez, MD IncCertificate of Waiver, Physician office05D0962014
- Ashok Melvani, MDCertificate of Waiver, Physician office05D0920510
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Related
Questions
What is the CLIA number for Heritage Victor Valley Med GRP in Victorville?
05D2030527, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Heritage Victor Valley Med GRP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2030527 expire?
The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.