CLIA lab
CLIA 05D2169599: Scpmg Palm Desert Target
Palm Desert, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2169599 belongs to Scpmg Palm Desert Target in Palm Desert, CA.
Certificate of Waiver, effective July 23, 2025, expires July 22, 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
- July 23, 2025
- Certificate expiration
- July 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 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
- 05D2169599
- Lab name
- Scpmg Palm Desert Target
- Address
- 72549 Highway 111, Palm Desert, CA 92260
- Phone
- (818) 503-6654
- 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.
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Related
Questions
What is the CLIA number for Scpmg Palm Desert Target in Palm Desert?
05D2169599, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Palm Desert Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2169599 expire?
The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.