CLIA lab
CLIA 05D2102172: Riverside Outpatient Surgical Institute
Riverside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2102172 belongs to Riverside Outpatient Surgical Institute in Riverside, CA.
Certificate of Waiver, effective February 7, 2025, expires February 6, 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
- February 7, 2025
- Certificate expiration
- February 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2015
- Facility type
- Ambulatory surgery center
- 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
- 05D2102172
- Lab name
- Riverside Outpatient Surgical Institute
- Address
- 4500 Brockton Ave Ste 105, Riverside, CA 92501
- Phone
- (951) 784-4088
- Fax
- (951) 784-4089
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 92503Certificate of Waiver, Physician office05D2230114
- A-Quest Health Care IncCertificate of Waiver, Home health agency05D2043489
- Advance Care Services Inc, DBA Care Plus PharmacyCertificate of Waiver, Pharmacy05D2265041
- Afc Urgent Care RiversideCertificate of Accreditation, Other practitioner05D2095320
- Affinity Home Health Services, IncCertificate of Waiver, Home health agency05D1070005
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2331790
- Akeso Occupational Health - RiversideCertificate of Waiver, Physician office05D2314046
- Alta Vista Healthcare and Wellness CentreCertificate of Waiver, Skilled nursing or nursing facility05D0575422
Related
Questions
What is the CLIA number for Riverside Outpatient Surgical Institute in Riverside?
05D2102172, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Riverside Outpatient Surgical Institute hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2102172 expire?
The CMS file lists February 6, 2027 as the certificate expiration date; the certificate took effect February 7, 2025.