CLIA lab

CLIA 05D2165278: Cucamonga Valley Medical Group Chino

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

CLIA number 05D2165278 belongs to Cucamonga Valley Medical Group Chino in Chino, CA.

Certificate of Waiver, effective April 26, 2025, expires April 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
April 26, 2025
Certificate expiration
April 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 24, 2019
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
05D2165278
Lab name
Cucamonga Valley Medical Group Chino
Address
5562 Philadelphia Street Suite 310, Chino, CA 91710
Phone
(909) 429-2864
Fax
(909) 429-2868

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Cucamonga Valley Medical Group Chino in Chino?

05D2165278, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cucamonga Valley Medical Group Chino hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2165278 expire?

The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.

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