CLIA lab
CLIA 05D2111899: VCC Lake Elsinore
Lake Elsinore, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2111899 belongs to VCC Lake Elsinore in Lake Elsinore, CA.
Certificate of Waiver, effective April 18, 2026, expires April 17, 2028.
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
- April 18, 2026
- Certificate expiration
- April 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2016
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2111899
- Lab name
- VCC Lake Elsinore
- Address
- 30195 Fraser Dr, Lake Elsinore, CA 92530
- Phone
- (760) 631-5000
Annual test volume the lab reported
- Waived tests
- 2,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Elsinore, CA
- A Plus Urgent CareCertificate of Waiver, Physician office05D2168924
- Accelerated Urgent CareCertificate of Waiver, Other05D2270078
- American Spine PCCertificate of Waiver, Physician office05D2143794
- Best Quality Care Hospice, IncCertificate of Waiver, Hospice05D2230657
- Cvs/Pharmacy #09847Certificate of Waiver, Pharmacy05D2272613
- DR Arce Family Medical Clinic IncCertificate of Waiver, Physician office05D1094975
- DR Jimmy Phan Medical CorporationCertificate of Waiver, Physician office05D2271479
- Farid Saadat M.D.Certificate of Waiver, Physician office05D0966075
- Healthcare Partners AffiliatesCertificate of Waiver, Physician office05D0974943
- Healthcare in Action - South RiversideCertificate of Waiver, Other05D2347920
Related
Questions
What is the CLIA number for VCC Lake Elsinore in Lake Elsinore?
05D2111899, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does VCC Lake Elsinore hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2111899 expire?
The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.