CLIA lab

CLIA 05D2098240: Medcor @ Ross Distribution- Mvdc

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

CLIA number 05D2098240 belongs to Medcor @ Ross Distribution- Mvdc in Moreno Valley, CA.

Certificate of Waiver, effective July 2, 2025, expires July 1, 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
July 2, 2025
Certificate expiration
July 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 2, 2015
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
05D2098240
Lab name
Medcor @ Ross Distribution- Mvdc
Address
17800 Perris Blvd, Moreno Valley, CA 92551
Phone
(815) 363-9500
Fax
(815) 759-8495

Annual test volume the lab reported

Waived tests
150

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 @ Ross Distribution- Mvdc in Moreno Valley?

05D2098240, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medcor @ Ross Distribution- Mvdc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2098240 expire?

The CMS file lists July 1, 2027 as the certificate expiration date; the certificate took effect July 2, 2025.

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