CLIA lab
CLIA 05D2288296: First Valley Medical Group
Palmdale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2288296 belongs to First Valley Medical Group in Palmdale, CA.
Certificate of Waiver, effective August 23, 2025, expires August 22, 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
- August 23, 2025
- Certificate expiration
- August 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 2023
- 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
- 05D2288296
- Lab name
- First Valley Medical Group
- Address
- 1220 E Ave Suite M, Palmdale, CA 93550
- Phone
- (661) 273-4407
- Fax
- (661) 273-0252
Annual test volume the lab reported
- Waived tests
- 5,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alden Home Health, IncCertificate of Waiver, Home health agency05D0922457
- Alden HospiceCertificate of Waiver, Hospice05D2048613
- Amicis Research CenterCertificate of Waiver, Other05D2339053
- Anas Entabi, MDCertificate of Waiver, Physician office05D2023921
- Andrew Teperson MDCertificate of Waiver, Physician office05D1018675
- Antelope Valley Home Health Agency IncCertificate of Waiver, Home health agency05D2297229
Related
Questions
What is the CLIA number for First Valley Medical Group in Palmdale?
05D2288296, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does First Valley Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2288296 expire?
The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.