CLIA lab

CLIA 05D2041490: Mayflower Medical Group Inc

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

CLIA number 05D2041490 belongs to Mayflower Medical Group Inc in West Covina, CA.

Certificate of Waiver, effective May 23, 2026, expires May 22, 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
May 23, 2026
Certificate expiration
May 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 23, 2012
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
05D2041490
Lab name
Mayflower Medical Group Inc
Address
140 N Orange Ave Ste 100, West Covina, CA 91790
Phone
(626) 800-1200
Fax
(626) 962-2471

Annual test volume the lab reported

Waived tests
12

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 Mayflower Medical Group Inc in West Covina?

05D2041490, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mayflower Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2041490 expire?

The CMS file lists May 22, 2028 as the certificate expiration date; the certificate took effect May 23, 2026.

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