CLIA lab
CLIA 05D2201012: Scpmg Hesperia Medical Office
Hesperia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2201012 belongs to Scpmg Hesperia Medical Office in Hesperia, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 18, 2024, expires November 17, 2026.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2020
- 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
- 05D2201012
- Lab name
- Scpmg Hesperia Medical Office
- Address
- 9550 Escondido Avenue, Hesperia, CA 92345
- Phone
- (909) 609-5253
- Fax
- (808) 503-6532
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 50
- Total
- 1,050
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 Hesperia Medical Office in Hesperia?
05D2201012, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Hesperia Medical Office hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2201012 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.