CLIA lab
CLIA 05D2129517: Arc-Imperial Valley Imperial Group Home
Imperial, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2129517 belongs to Arc-Imperial Valley Imperial Group Home in Imperial, CA.
Certificate of Waiver, effective August 8, 2025, expires August 7, 2027.
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
- August 8, 2025
- Certificate expiration
- August 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 2017
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Private
- 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
- 05D2129517
- Lab name
- Arc-Imperial Valley Imperial Group Home
- Address
- 709 South H St, Imperial, CA 92251
- Phone
- (760) 353-9976
- Fax
- (760) 353-9978
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Clinicas De Salud Del Pueblo DBA InnercareCertificate of Waiver, Federally qualified health center05D2347978
- Hamid T Zadeh MD IncCertificate of Waiver, Physician office05D2018939
- Imperial Valley Family Care Medical GroupCertificate of Accreditation, Physician office05D0681409
- Masoud Afshar MD IncCertificate of Waiver, Physician office05D2282279
- Mercy Air Service - Air Methods CorporationCertificate of Waiver, Ambulance05D2299537
- Pace By InnercareCertificate of Waiver, Other05D2333759
- Ray Mun Loo, MD Medical CorporationCertificate of Waiver, Physician office05D2120965
- Sun Valley Research CenterCertificate of Waiver, Physician office05D1085757
- Surgery Centers of Imperial Valley, Inc.Certificate of Waiver, Ambulatory surgery center05D2220584
Related
Questions
What is the CLIA number for Arc-Imperial Valley Imperial Group Home in Imperial?
05D2129517, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arc-Imperial Valley Imperial Group Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2129517 expire?
The CMS file lists August 7, 2027 as the certificate expiration date; the certificate took effect August 8, 2025.