CLIA lab
CLIA 05D2112521: 123 Medical Group Corp
Walnut, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2112521 belongs to 123 Medical Group Corp in Walnut, CA.
Certificate of Waiver, effective May 2, 2026, expires May 1, 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
- May 2, 2026
- Certificate expiration
- May 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 2016
- 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
- 05D2112521
- Lab name
- 123 Medical Group Corp
- Address
- 18800 Amar Rd Ste C-12, Walnut, CA 91789
- Phone
- (626) 788-9691
- Fax
- (626) 608-0318
Annual test volume the lab reported
- Waived tests
- 500
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 123 Medical Group Corp in Walnut?
05D2112521, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 123 Medical Group Corp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2112521 expire?
The CMS file lists May 1, 2028 as the certificate expiration date; the certificate took effect May 2, 2026.