CLIA lab
CLIA 05D2297310: Legacy MD Medical Group Inc
Calexico, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2297310 belongs to Legacy MD Medical Group Inc in Calexico, CA.
Certificate of Waiver, effective January 12, 2026, expires January 11, 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
- January 12, 2026
- Certificate expiration
- January 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 2024
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2297310
- Lab name
- Legacy MD Medical Group Inc
- Address
- 222 East Cole Blvd, Suite C, Calexico, CA 92231
- Phone
- (760) 550-1685
- Fax
- (888) 631-5150
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Calexico, CA
- Abo Plasma - CalexicoCertificate of Registration, Blood bank05D2301703
- Adolescent Calexico Sud Treatment ProgramsCertificate of Waiver, Community clinic05D2279680
- Adult Calexico Sud Treatment ProgramCertificate of Waiver, Community clinic05D2279676
- Alegria Adult Day Health Care CenterCertificate of Waiver, Other05D0988045
- Biomat USA, IncCertificate of Accreditation, Other05D1075051
- Biomat USA, IncCertificate of Accreditation, Other05D2182505
- Calexico Health CenterCertificate of Waiver, Rural health clinic05D1026558
- Calexico Health CenterCertificate of Waiver, Rural health clinic05D2111824
- Calexico Wellness CenterCertificate of Waiver, Community clinic05D2280509
- Clinicas De Salud Del PuebloCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0952172
Related
Questions
What is the CLIA number for Legacy MD Medical Group Inc in Calexico?
05D2297310, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy MD Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2297310 expire?
The CMS file lists January 11, 2028 as the certificate expiration date; the certificate took effect January 12, 2026.