CLIA lab
CLIA 05D2084479: Medcor_clinic at Target FDC - Rialto
Rialto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2084479 belongs to Medcor_clinic at Target FDC - Rialto in Rialto, CA.
Certificate of Waiver, effective September 24, 2026, expires September 23, 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
- September 24, 2026
- Certificate expiration
- September 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2014
- Facility type
- Industrial
- 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
- 05D2084479
- Lab name
- Medcor_clinic at Target FDC - Rialto
- Address
- 2245 Renaissance Pkwy, Rialto, CA 92376
- Phone
- (909) 349-2196
Annual test volume the lab reported
- Waived tests
- 80
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 Medcor_clinic at Target FDC - Rialto in Rialto?
05D2084479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medcor_clinic at Target FDC - Rialto hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2084479 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.