CLIA lab
CLIA 05D2035004: Scpmg Dermatology Department Fontana
Fontana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2035004 belongs to Scpmg Dermatology Department Fontana in Fontana, CA.
Certificate of Compliance, effective October 12, 2024, expires October 31, 2026.
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 Compliance
- Certificate effective
- October 12, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2012
- Facility type
- Health maintenance organization
- 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
- 05D2035004
- Lab name
- Scpmg Dermatology Department Fontana
- Address
- 9985 Sierra Ave, Fontana, CA 92335
- Phone
- (909) 427-4330
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Other nonwaived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Amazonite Treatment CenterCertificate of Waiver, Other05D2325964
- Arrowhead Family Health Center - FontanaCertificate for Provider-Performed Microscopy Procedures, Physician office05D2160075
- Auto Club Speedway (Medical First Aid Station)Certificate of Waiver, Other05D2091643
- Beaver Medical Group PC, FontanaCertificate of Waiver, Physician office05D2087594
- Benny J Guzman MDCertificate of Waiver, Physician office05D1036649
- Citrus Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility05D0875230
- Cobblestone HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2085173
- Comprehensive Primary Care Medical Assoc IncCertificate of Waiver, Physician office05D1089961
Related
Questions
What is the CLIA number for Scpmg Dermatology Department Fontana in Fontana?
05D2035004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Dermatology Department Fontana hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2035004 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect October 12, 2024.