CLIA lab

CLIA 05D2163102: Scpmg Irwindale Medical Office

Irwindale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2163102 belongs to Scpmg Irwindale Medical Office in Irwindale, CA.

Certificate of Waiver, effective March 7, 2025, expires March 6, 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
March 7, 2025
Certificate expiration
March 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 2019
Facility type
Health maintenance organization
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
05D2163102
Lab name
Scpmg Irwindale Medical Office
Address
12761 Schabarum Avenue, Irwindale, CA 91706
Phone
(626) 851-5144
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.

Other labs in Irwindale, CA

Related

Questions

What is the CLIA number for Scpmg Irwindale Medical Office in Irwindale?

05D2163102, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Irwindale Medical Office hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2163102 expire?

The CMS file lists March 6, 2027 as the certificate expiration date; the certificate took effect March 7, 2025.

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