CLIA lab

CLIA 05D2210769: Kenneth Grier MD Inc

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

CLIA number 05D2210769 belongs to Kenneth Grier MD Inc in Apple Valley, CA.

Certificate of Waiver, effective January 22, 2025, expires January 21, 2027.

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
January 22, 2025
Certificate expiration
January 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2021
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
05D2210769
Lab name
Kenneth Grier MD Inc
Address
18564 US Highway 18, Suite 101, Apple Valley, CA 92307
Phone
(760) 475-9080
Fax
(760) 610-0374

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Apple Valley, CA

Related

Questions

What is the CLIA number for Kenneth Grier MD Inc in Apple Valley?

05D2210769, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kenneth Grier MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2210769 expire?

The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.

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