CLIA lab
CLIA 05D2153031: Medcor Clinic @ Ross - Shafter
Shafter, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2153031 belongs to Medcor Clinic @ Ross - Shafter in Shafter, CA.
Certificate of Waiver, effective August 22, 2026, expires August 21, 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
- August 22, 2026
- Certificate expiration
- August 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2018
- Facility type
- Industrial
- 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
- 05D2153031
- Lab name
- Medcor Clinic @ Ross - Shafter
- Address
- 2801 Zachary Ave, Shafter, CA 93263
- Phone
- (815) 363-9500
- Fax
- (815) 759-5480
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shafter, CA
- Adventist Health ShafterCertificate of Waiver, Community clinic05D2018601
- ApexCertificate of Waiver, Other practitioner05D2132090
- Good Samaritan Health Center ShaferCertificate of Waiver, Rural health clinic05D2320353
- Medcor, Inc. @ Target DCCertificate of Waiver, Industrial05D2023201
- Shafter Nursing Rehab LLC / Shafter Nursing CareCertificate of Waiver, Skilled nursing or nursing facility05D2305406
- Shafter PediatricsCertificate of Waiver, Physician office05D2118898
- Vanguard Medical CorporationCertificate of Waiver, Rural health clinic05D0723619
Related
Questions
What is the CLIA number for Medcor Clinic @ Ross - Shafter in Shafter?
05D2153031, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medcor Clinic @ Ross - Shafter hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2153031 expire?
The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.