CLIA lab

CLIA 05D2196700: Bronco Clinic

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

CLIA number 05D2196700 belongs to Bronco Clinic in Bishop, CA.

Certificate of Waiver, effective October 19, 2024, expiration date October 18, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 19, 2024
Certificate expiration
October 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 19, 2020
Facility type
School or student health service
Ownership (control type)
Other
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
05D2196700
Lab name
Bronco Clinic
Address
301 North Fowler, Bishop, CA 93514
Phone
(760) 873-2029
Fax
(760) 873-2784

Annual test volume the lab reported

Waived tests
500

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 Bronco Clinic in Bishop?

05D2196700, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bronco Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2196700 expire?

The CMS file lists October 18, 2026 as the certificate expiration date; the certificate took effect October 19, 2024.

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