CLIA lab
CLIA 05D2142185: Trivalley Internal Medicine Group
Menifee, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2142185 belongs to Trivalley Internal Medicine Group in Menifee, CA.
Certificate of Waiver, effective January 4, 2026, expires January 3, 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
- January 4, 2026
- Certificate expiration
- January 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 2018
- 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
- 05D2142185
- Lab name
- Trivalley Internal Medicine Group
- Address
- 28125 Bradley Rd Ste 170, Menifee, CA 92586
- Phone
- (951) 894-4665
- Fax
- (951) 894-4667
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brightstar CareCertificate of Waiver, Home health agency05D2065998
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- Gonzales Medical GroupCertificate of Waiver, Physician office05D0951428
- Grace Family Health, Inc.Certificate of Waiver, Physician office05D2291137
- Menifee Dental GroupCertificate of Waiver, Other05D2287683
- Menifee Global Multi-Specialty Group IncCertificate of Waiver, Physician office05D2282664
Related
Questions
What is the CLIA number for Trivalley Internal Medicine Group in Menifee?
05D2142185, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Trivalley Internal Medicine Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2142185 expire?
The CMS file lists January 3, 2028 as the certificate expiration date; the certificate took effect January 4, 2026.