CLIA lab

CLIA 05D2101184: Med Ped Id , Incorporated

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

CLIA number 05D2101184 belongs to Med Ped Id , Incorporated in Murrieta, CA.

Certificate of Waiver, effective August 28, 2025, expires August 27, 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
August 28, 2025
Certificate expiration
August 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 28, 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

Lab and contact

CLIA number
05D2101184
Lab name
Med Ped Id , Incorporated
Address
28078 Baxter Rd Ste 320, Murrieta, CA 92563
Phone
(951) 679-5811
Fax
(951) 679-5844

Annual test volume the lab reported

Waived tests
100

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 Med Ped Id , Incorporated in Murrieta?

05D2101184, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Med Ped Id , Incorporated hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2101184 expire?

The CMS file lists August 27, 2027 as the certificate expiration date; the certificate took effect August 28, 2025.

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