CLIA lab

CLIA 05D2166766: Nanoom Medical Group

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

CLIA number 05D2166766 belongs to Nanoom Medical Group in Victorville, CA.

Certificate of Waiver, effective May 24, 2025, expires May 23, 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
May 24, 2025
Certificate expiration
May 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2166766
Lab name
Nanoom Medical Group
Address
15095 Amargosa Rd, Bldg 1 #102, Victorville, CA 92394
Phone
(760) 552-4470
Fax
(760) 552-4472

Annual test volume the lab reported

Waived tests
1,000

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

Affiliated CLIA numbers

Other labs in Victorville, CA

Related

Questions

What is the CLIA number for Nanoom Medical Group in Victorville?

05D2166766, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Nanoom Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2166766 expire?

The CMS file lists May 23, 2027 as the certificate expiration date; the certificate took effect May 24, 2025.

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