CLIA lab
CLIA 05D2121509: Magnolia Women Medical Center
Moreno Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2121509 belongs to Magnolia Women Medical Center in Moreno Valley, CA.
Certificate of Waiver, effective November 7, 2024, expires November 6, 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 Waiver
- Certificate effective
- November 7, 2024
- Certificate expiration
- November 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 2016
- Facility type
- Physician office
- 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
- 05D2121509
- Lab name
- Magnolia Women Medical Center
- Address
- 12712 Heacock St Ste 9B, Moreno Valley, CA 92553
- Phone
- (951) 242-2022
- Fax
- (951) 242-2822
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 Magnolia Women Medical Center in Moreno Valley?
05D2121509, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Women Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2121509 expire?
The CMS file lists November 6, 2026 as the certificate expiration date; the certificate took effect November 7, 2024.