CLIA lab
CLIA 05D2172233: Scpmg West Covina South Target
West Covina, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2172233 belongs to Scpmg West Covina South Target in West Covina, CA.
Certificate of Waiver, effective September 18, 2025, expires September 17, 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 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 18, 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
- 05D2172233
- Lab name
- Scpmg West Covina South Target
- Address
- 2370 South Azusa Avenue, West Covina, CA 91792
- 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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- Alliant Home Health Care ServicesCertificate of Waiver, Home health agency05D1080326
- Altamed Medical Group - West CovinaCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2030472
- Altamed Medical Group-West Covina, AmarCertificate of Waiver, Federally qualified health center05D2327470
- Altamed Pace West CovinaCertificate of Waiver, Federally qualified health center05D2300702
- American Empire Home Health Care ServicesCertificate of Waiver, Home health agency05D0973701
- Apple Medical Clinic, IncCertificate of Waiver, Physician office05D2245108
- Beacon Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0877502
Related
Questions
What is the CLIA number for Scpmg West Covina South Target in West Covina?
05D2172233, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg West Covina South Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2172233 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.