CLIA lab
CLIA 05D2106489: Medcor Clinic @ Target Fulfilment Center
Ontario, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2106489 belongs to Medcor Clinic @ Target Fulfilment Center in Ontario, CA.
Certificate of Waiver, effective December 18, 2025, expires December 17, 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
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 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
- 05D2106489
- Lab name
- Medcor Clinic @ Target Fulfilment Center
- Address
- 1505 S Haven Ave, Ontario, CA 91761
- Phone
- (909) 937-5705
- Fax
- (815) 578-4005
Annual test volume the lab reported
- Waived tests
- 80
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Allcare Health Services, LLCCertificate of Waiver, Home health agency05D2274064
- Alpha Home HealthCertificate of Waiver, Home health agency05D1083830
- Ascendio Health Systems IncCertificate of Waiver, Hospice05D2060750
- Beacon Hospice CareCertificate of Waiver, Hospice05D2078740
- Best Home Health Care, IncCertificate of Waiver, Home health agency05D2018084
Related
Questions
What is the CLIA number for Medcor Clinic @ Target Fulfilment Center in Ontario?
05D2106489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medcor Clinic @ Target Fulfilment Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2106489 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.