CLIA lab

CLIA 05D2122565: Montclair Clinica Medica Familiar

Montclair, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2122565 belongs to Montclair Clinica Medica Familiar in Montclair, CA.

Certificate of Waiver, effective November 30, 2024, expires November 29, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 30, 2024
Certificate expiration
November 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 30, 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
05D2122565
Lab name
Montclair Clinica Medica Familiar
Address
9675 Monte Vista Ave Ste C, Montclair, CA 91763
Phone
(855) 505-7467
Fax
(888) 975-8926

Annual test volume the lab reported

Waived tests
10,400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Montclair, CA

Related

Questions

What is the CLIA number for Montclair Clinica Medica Familiar in Montclair?

05D2122565, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Montclair Clinica Medica Familiar hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2122565 expire?

The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.

Try it on your own data today.

Free to start. Most teams are using it the same day.