CLIA lab
CLIA 05D2196005: MT San Jacinto Community College District
San Jacinto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2196005 belongs to MT San Jacinto Community College District in San Jacinto, CA.
Certificate of Waiver, effective October 14, 2026, expires October 13, 2028.
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
- October 14, 2026
- Certificate expiration
- October 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 14, 2020
- Facility type
- School or student health service
- Ownership (control type)
- Government, state
- 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
- 05D2196005
- Lab name
- MT San Jacinto Community College District
- Address
- 1499 N State Street, San Jacinto, CA 92583
- Phone
- (951) 465-8371
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Jacinto, CA
- Ace PediatricsCertificate of Waiver, Physician office05D1068062
- Apple Urgent Care-San JacintoCertificate of Waiver, Physician office05D2299652
- Cvs/Pharmacy #08943Certificate of Waiver, Pharmacy05D2271815
- Dap Health - San JacintoCertificate of Waiver, Federally qualified health center05D2132014
- Diamond Valley DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2000270
- Discovery Practice Management- San JacintoCertificate of Waiver, Other05D2325274
- Lifekind HealthCertificate of Registration, Physician office05D2132584
- Lifekind HealthCertificate of Waiver, Physician office05D2324222
- Petra Pharmacy Corp DBA Enova Care PharmacyCertificate of Waiver, Pharmacy05D2226650
- San Jacinto Family & Urgent CareCertificate of Waiver, Physician office05D0916779
Related
Questions
What is the CLIA number for MT San Jacinto Community College District in San Jacinto?
05D2196005, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does MT San Jacinto Community College District hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2196005 expire?
The CMS file lists October 13, 2028 as the certificate expiration date; the certificate took effect October 14, 2026.