CLIA lab
CLIA 05D2052175: Southern California Primary Medical, Inc
Rancho Cucamonga, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2052175 belongs to Southern California Primary Medical, Inc in Rancho Cucamonga, CA.
Certificate of Waiver, effective January 7, 2025, expires January 6, 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
- January 7, 2025
- Certificate expiration
- January 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 7, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2052175
- Lab name
- Southern California Primary Medical, Inc
- Address
- 8237 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730
- Phone
- (909) 477-3310
- Fax
- (909) 477-3320
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Rancho Cucamonga, CA
- A's Home Health Care, IncCertificate of Waiver, Home health agency05D1024150
- Aftab A Qadir, MD IncCertificate of Waiver, Physician office05D2349874
- Alaphia Care Home Health ServicesCertificate of Waiver, Home health agency05D2129316
- Allstar Health Providers, Inc.Certificate of Waiver, Home health agency05D2063979
- American All Care Services, LLCCertificate of Waiver, Hospice05D2151979
- American Medical ResponseCertificate of Waiver, Ambulance05D0865015
- Apple Healthcare Inc.Certificate of Waiver, Home health agency05D2035784
- Archibald Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center05D1036267
- Armada Wellness and Family CareCertificate of Waiver, Physician office05D2058798
- Arrow Occupational Medicine CenterCertificate of Waiver, Physician office05D2136047
Related
Questions
What is the CLIA number for Southern California Primary Medical, Inc in Rancho Cucamonga?
05D2052175, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern California Primary Medical, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2052175 expire?
The CMS file lists January 6, 2027 as the certificate expiration date; the certificate took effect January 7, 2025.