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CLIA 05D2172799: Prestige Medical Clinic
Pomona, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2172799 belongs to Prestige Medical Clinic in Pomona, CA.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2019
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 05D2172799
- Lab name
- Prestige Medical Clinic
- Additional name
- And Urgent Care
- Address
- 1984 Indian Hill Blvd, Pomona, CA 91767
- Phone
- (909) 447-2323
- Fax
- (909) 447-1199
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.
Other labs in Pomona, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0686988
- All American Community Health Center IncCertificate of Waiver, Community clinic05D2274135
- Allegiant Healthcare, IncCertificate of Waiver, Home health agency05D2172969
- Altamed - Pace PomonaCertificate of Waiver, Federally qualified health center05D2318142
- American National Red CrossCertificate of Accreditation, Blood bank05D0642412
- American National Red Cross - Pomona, theCertificate of Waiver, Blood bank05D2239874
- Antonio M Garcia, MDCertificate of Waiver, Physician office05D0887027
- Biolife Plasma Services LPCertificate of Compliance, Other05D2232344
- CMG Clinical Laboratory andCertificate of Waiver, Physician office05D1091084
- CP Inland Empire S-Ca, LLC DBA Providence at HomeCertificate of Waiver, Home health agency05D0955932
Related
Questions
What is the CLIA number for Prestige Medical Clinic in Pomona?
05D2172799, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prestige Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2172799 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.
RUN IT IN RIVVI
Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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