CLIA lab
CLIA 05D2098215: Three Angels Medical Professional
Victorville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2098215 belongs to Three Angels Medical Professional in Victorville, CA.
Certificate of Waiver, effective November 15, 2024, expires November 14, 2026.
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, 2024
- Certificate expiration
- November 14, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 2, 2015
- Facility type
- Physician office
- 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
- 05D2098215
- Lab name
- Three Angels Medical Professional
- Additional name
- Corporation #4
- Address
- 16460 Victor St, Victorville, CA 92395
- Phone
- (760) 245-6925
- Fax
- (760) 561-5727
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.
Affiliated CLIA numbers
Other labs in Victorville, CA
- Advanced Pain Management CenterCertificate of Waiver, Physician office05D1100215
- Ahmed Medical CorpCertificate of Waiver, Physician office05D0956908
- Allay 4 Hospice, IncCertificate of Waiver, Hospice05D2210086
- Amargosa Family ClinicCertificate of Waiver, Physician office05D2143974
- Anupama Sharma, MD IncCertificate of Waiver, Physician office05D1107051
- Arthur E Jimenez, MD IncCertificate of Waiver, Physician office05D0962014
- Ashok Melvani, MDCertificate of Waiver, Physician office05D0920510
- Ashvin Bhutwala MDCertificate of Waiver, Physician office05D0903715
- Aspen Pediatric Clinic IncCertificate of Waiver, Physician office05D1034135
- Bear Valley Urgent CareCertificate of Waiver, Physician office05D2109012
Related
Questions
What is the CLIA number for Three Angels Medical Professional in Victorville?
05D2098215, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Three Angels Medical Professional hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2098215 expire?
The CMS file lists November 14, 2026 as the certificate expiration date; the certificate took effect November 15, 2024.