CLIA lab
CLIA 05D2299476: Legacy MD Medical Group Inc
El Centro, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2299476 belongs to Legacy MD Medical Group Inc in El Centro, CA.
Certificate of Waiver, effective February 21, 2026, expires February 20, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 21, 2026
- Certificate expiration
- February 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 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
- 05D2299476
- Lab name
- Legacy MD Medical Group Inc
- Address
- 1699 North Imperial Avenue, El Centro, CA 92243
- 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 El Centro, CA
- Accentcare Home Health of CaCertificate of Waiver, Hospice05D0900154
- Accentcare Home Health of California, IncCertificate of Waiver, Hospice05D2098534
- Adolescent El Centro Sud Treatment ProgramsCertificate of Waiver, Community clinic05D2279678
- Adolescents, Babies & Children Pediatric Med GroupCertificate of Waiver, Physician office05D0572174
- Adult El Centro Sud Treatment PgrmsCertificate of Waiver, Community clinic05D2279675
- Advanced Pain AssociatesCertificate of Waiver, Physician office05D1103836
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2331720
- Akeso Occupational Health - El CentroCertificate of Waiver, Physician office05D2314804
- All Valley Urgent Care, Tyson Medical IncCertificate of Waiver, Physician office05D2114540
- Aurora Urgent Care ApcCertificate of Waiver, Physician office05D2329712
Related
Questions
What is the CLIA number for Legacy MD Medical Group Inc in El Centro?
05D2299476, 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 05D2299476 expire?
The CMS file lists February 20, 2028 as the certificate expiration date; the certificate took effect February 21, 2026.