CLIA lab
CLIA 05D2115865: Citrus Valley Gastroenterology PC Lab
Covina, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2115865 belongs to Citrus Valley Gastroenterology PC Lab in Covina, CA.
Certificate of Compliance, effective February 24, 2023, expires October 31, 2026.
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 Compliance
- Certificate effective
- February 24, 2023
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2115865
- Lab name
- Citrus Valley Gastroenterology PC Lab
- Address
- 500 W San Bernardino Rd, Ste B, Covina, CA 91722
- Phone
- (626) 960-2396
- Fax
- (949) 209-1833
Annual test volume the lab reported
- Other nonwaived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Covina, CA
- 24-Seven Home Health LLCCertificate of Waiver, Home health agency05D2008034
- Altamed Pace-CovinaCertificate of Waiver, Federally qualified health center05D2079964
- Angel Hospice Care, IncCertificate of Waiver, Hospice05D2151764
- Assissted Home Care IncCertificate of Waiver, Hospice05D2163025
- Assisted Home Recovery, IncCertificate of Waiver, Home health agency05D2310586
- Aurora Behavioral Hlth Care/CharterCertificate of Waiver, Hospital05D0873217
- Blanco Family MedicineCertificate of Waiver, Physician office05D2079424
- Boston Dermatology CorporationCertificate of Compliance, Physician office05D1003494
- Bradbourne Healthcare IncCertificate of Waiver, Home health agency05D1008691
- California Kidney SpecialistsCertificate of Waiver, Physician office05D0909741
Related
Questions
What is the CLIA number for Citrus Valley Gastroenterology PC Lab in Covina?
05D2115865, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Citrus Valley Gastroenterology PC Lab hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2115865 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect February 24, 2023.