CLIA lab
CLIA 05D2154341: Scpmg Compton Rancho Dom Target
Compton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2154341 belongs to Scpmg Compton Rancho Dom Target in Compton, CA.
Certificate of Waiver, effective June 26, 2025, expires June 25, 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
- June 26, 2025
- Certificate expiration
- June 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2018
- Facility type
- Health maintenance organization
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2154341
- Lab name
- Scpmg Compton Rancho Dom Target
- Address
- 1621 S Alameda Street, Compton, CA 90220
- Phone
- (310) 517-2636
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Compton, CA
- Aghaby Comprehensive Community Health CenterCertificate of Waiver, Federally qualified health center05D2111272
- Altamed Pace - ComptonCertificate of Waiver, Federally qualified health center05D2283978
- Banj Health Center IncCertificate of Waiver, Community clinic05D0907920
- Compton Family Medical Clinic, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0900510
- Compton Mental Health CenterCertificate of Waiver, Other05D2202899
- Concentra Compton Rancho DominguezCertificate of Waiver, Physician office05D0903663
- De Novo Health Care IncCertificate of Waiver, Physician office05D1089352
- E&v Adult Day Health CareCertificate of Waiver, Other05D1017186
- Fred Kyazze, MD Inc DBA Gala Care Medical ClinicCertificate of Waiver, Physician office05D0953999
- Gateway Plaza DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1100524
Related
Questions
What is the CLIA number for Scpmg Compton Rancho Dom Target in Compton?
05D2154341, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Compton Rancho Dom Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2154341 expire?
The CMS file lists June 25, 2027 as the certificate expiration date; the certificate took effect June 26, 2025.