CLIA lab
CLIA 05D2210367: Palo Verde Community Clinic
Blythe, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2210367 belongs to Palo Verde Community Clinic in Blythe, CA.
Certificate of Waiver, effective March 24, 2026, expires March 23, 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
- March 24, 2026
- Certificate expiration
- March 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 21, 2021
- Facility type
- Rural health clinic
- 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
- 05D2210367
- Lab name
- Palo Verde Community Clinic
- Address
- 291 N Second St, Blythe, CA 92225
- Phone
- (760) 922-4115
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 Palo Verde Community Clinic in Blythe?
05D2210367, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Palo Verde Community Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2210367 expire?
The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.