CLIA lab
CLIA 05D2103862: Patriot Family Medicine
Moorpark, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2103862 belongs to Patriot Family Medicine in Moorpark, CA.
Certificate of Waiver, effective October 21, 2025, expires October 20, 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
- October 21, 2025
- Certificate expiration
- October 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2015
- Facility type
- Community clinic
- 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
- 05D2103862
- Lab name
- Patriot Family Medicine
- Address
- 885 Patriot Dr Unit F, Moorpark, CA 93021
- Phone
- (310) 738-4975
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Grata HouseCertificate of Waiver, Other05D2320802
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Related
Questions
What is the CLIA number for Patriot Family Medicine in Moorpark?
05D2103862, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Patriot Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2103862 expire?
The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.