CLIA lab

CLIA 05D2203027: Prime Health 360

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

CLIA number 05D2203027 belongs to Prime Health 360 in La Quinta, CA.

Certificate of Waiver, effective December 2, 2024, expires December 1, 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 of Waiver
Certificate effective
December 2, 2024
Certificate expiration
December 1, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 2, 2020
Facility type
Physician office
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
05D2203027
Lab name
Prime Health 360
Address
79440 Corporate Center Drive Ste 111A, La Quinta, CA 92253
Phone
(940) 444-1422
Fax
(760) 699-2699

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 Prime Health 360 in La Quinta?

05D2203027, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prime Health 360 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2203027 expire?

The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.

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