CLIA lab

CLIA 05D2083532: Scpmg Vista Target

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

CLIA number 05D2083532 belongs to Scpmg Vista Target in Vista, CA.

Certificate of Waiver, effective November 15, 2025, expires November 14, 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
November 15, 2025
Certificate expiration
November 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 8, 2014
Facility type
Health maintenance organization
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
05D2083532
Lab name
Scpmg Vista Target
Address
1751 University Dr, Vista, CA 92083
Phone
(619) 528-6017
Fax
(818) 503-6532

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.

Affiliated CLIA numbers

Other labs in Vista, CA

Related

Questions

What is the CLIA number for Scpmg Vista Target in Vista?

05D2083532, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Vista Target hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2083532 expire?

The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.

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