CLIA lab
CLIA 05D2143974: Amargosa Family Clinic
Victorville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2143974 belongs to Amargosa Family Clinic in Victorville, CA.
Certificate of Waiver, effective February 8, 2026, expires February 7, 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
- February 8, 2026
- Certificate expiration
- February 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 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
- 05D2143974
- Lab name
- Amargosa Family Clinic
- Address
- 15095 Amargosa Rd, Bldg 2, Ste 280, Victorville, CA 92394
- Phone
- (760) 983-2250
- Fax
- (760) 983-2249
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aspen Pediatric Clinic IncCertificate of Waiver, Physician office05D1034135
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Related
Questions
What is the CLIA number for Amargosa Family Clinic in Victorville?
05D2143974, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amargosa Family Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2143974 expire?
The CMS file lists February 7, 2028 as the certificate expiration date; the certificate took effect February 8, 2026.