CLIA lab

CLIA 05D2043491: Pros Medical Clinic Inc

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

CLIA number 05D2043491 belongs to Pros Medical Clinic Inc in Montclair, CA.

Certificate of Waiver, effective July 3, 2026, expires July 2, 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
July 3, 2026
Certificate expiration
July 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 3, 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
05D2043491
Lab name
Pros Medical Clinic Inc
Address
4959 Palo Verde St Ste 101A, Montclair, CA 91763
Phone
(909) 621-2562
Fax
(909) 621-2480

Annual test volume the lab reported

Waived tests
150

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

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Related

Questions

What is the CLIA number for Pros Medical Clinic Inc in Montclair?

05D2043491, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pros Medical Clinic Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2043491 expire?

The CMS file lists July 2, 2028 as the certificate expiration date; the certificate took effect July 3, 2026.

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