CLIA lab
CLIA 05D2076217: Scpmg Wildomar Medical Offices
Wildomar, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2076217 belongs to Scpmg Wildomar Medical Offices in Wildomar, CA.
Certificate of Waiver, effective October 15, 2026, expires October 14, 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
- October 15, 2026
- Certificate expiration
- October 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 2014
- 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
- 05D2076217
- Lab name
- Scpmg Wildomar Medical Offices
- Address
- 36450 Inland Dr Ste #208, Wildomar, CA 92595
- Phone
- (951) 600-3311
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived 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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Related
Questions
What is the CLIA number for Scpmg Wildomar Medical Offices in Wildomar?
05D2076217, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Wildomar Medical Offices hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2076217 expire?
The CMS file lists October 14, 2028 as the certificate expiration date; the certificate took effect October 15, 2026.