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CLIA 05D2095375: Eastvale Medical Group
Mira Loma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2095375 belongs to Eastvale Medical Group in Mira Loma, CA.
Certificate of Waiver, effective May 6, 2025, expires May 5, 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
- May 6, 2025
- Certificate expiration
- May 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 2015
- 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
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Lab and contact
- CLIA number
- 05D2095375
- Lab name
- Eastvale Medical Group
- Address
- 12523 Limonite Ave Ste 400, Mira Loma, CA 91752
- Phone
- (951) 808-6300
- Fax
- (951) 215-4553
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mira Loma, CA
Related
Questions
What is the CLIA number for Eastvale Medical Group in Mira Loma?
05D2095375, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eastvale Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2095375 expire?
The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.
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Map your lab's test names to LOINC codes
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