CLIA lab
CLIA 05D2154355: Scpmg Montclair Target
Montclair, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2154355 belongs to Scpmg Montclair Target in Montclair, CA.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 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
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2154355
- Lab name
- Scpmg Montclair Target
- Address
- 9052 Central Avenue, Montclair, CA 91763
- Phone
- (909) 399-3976
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Montclair, CA
- A Tu Salud A Medical CorpCertificate of Waiver, Physician office05D1063765
- Aces Home Healthcare Services IncCertificate of Waiver, Home health agency05D1060612
- Advanced Wellness Home Care IncCertificate of Waiver, Home health agency05D2165896
- Affective Hospice Care, IncCertificate of Waiver, Hospice05D2107459
- Angels on Earth HospiceCertificate of Waiver, Hospice05D2036471
- Benchmark Young Adult SchoolCertificate of Waiver, Ancillary test site05D2316028
- Benchmark at MonclairCertificate of Waiver, Ancillary test site05D2291219
- Best Serene Home Health IncCertificate of Waiver, Home health agency05D2304908
- Brightlane Healthcare IncCertificate of Waiver, Home health agency05D2230260
- California Professional CareCertificate of Waiver, Home health agency05D2216956
Related
Questions
What is the CLIA number for Scpmg Montclair Target in Montclair?
05D2154355, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Montclair Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2154355 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.