CLIA lab
CLIA 05D2079424: Blanco Family Medicine
Covina, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2079424 belongs to Blanco Family Medicine in Covina, CA.
Certificate of Waiver, effective June 16, 2026, expires June 15, 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
- June 16, 2026
- Certificate expiration
- June 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 2014
- 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
- 05D2079424
- Lab name
- Blanco Family Medicine
- Address
- 380 W Badillo St, Covina, CA 91723
- Phone
- (626) 915-3000
- Fax
- (626) 915-3004
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Covina, CA
- 24-Seven Home Health LLCCertificate of Waiver, Home health agency05D2008034
- Altamed Pace-CovinaCertificate of Waiver, Federally qualified health center05D2079964
- Angel Hospice Care, IncCertificate of Waiver, Hospice05D2151764
- Assissted Home Care IncCertificate of Waiver, Hospice05D2163025
- Assisted Home Recovery, IncCertificate of Waiver, Home health agency05D2310586
- Aurora Behavioral Hlth Care/CharterCertificate of Waiver, Hospital05D0873217
- Boston Dermatology CorporationCertificate of Compliance, Physician office05D1003494
- Bradbourne Healthcare IncCertificate of Waiver, Home health agency05D1008691
- California Kidney SpecialistsCertificate of Waiver, Physician office05D0909741
- Castellanos Family PracticeCertificate of Waiver, Physician office05D1007306
Related
Questions
What is the CLIA number for Blanco Family Medicine in Covina?
05D2079424, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blanco Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2079424 expire?
The CMS file lists June 15, 2028 as the certificate expiration date; the certificate took effect June 16, 2026.