CLIA lab
CLIA 05D2218338: Nordstrom Wcoc
Riverside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2218338 belongs to Nordstrom Wcoc in Riverside, CA.
Certificate of Waiver, effective March 26, 2025, expires March 25, 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
- March 26, 2025
- Certificate expiration
- March 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 26, 2021
- Facility type
- Industrial
- 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
- 05D2218338
- Lab name
- Nordstrom Wcoc
- Address
- 490 Columbia Ave, Riverside, CA 92507
- Phone
- (815) 363-9500
- Fax
- (815) 759-8490
Annual test volume the lab reported
- Waived tests
- 110
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Afc Urgent Care RiversideCertificate of Accreditation, Other practitioner05D2095320
- Affinity Home Health Services, IncCertificate of Waiver, Home health agency05D1070005
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2331790
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- Alta Vista Healthcare and Wellness CentreCertificate of Waiver, Skilled nursing or nursing facility05D0575422
Related
Questions
What is the CLIA number for Nordstrom Wcoc in Riverside?
05D2218338, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nordstrom Wcoc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2218338 expire?
The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.