CLIA lab
CLIA 05D2299477: Legacy MD Medical Group Inc
Indio, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2299477 belongs to Legacy MD Medical Group Inc in Indio, 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
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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
- 05D2299477
- Lab name
- Legacy MD Medical Group Inc
- Address
- 81812 Doctor Carreon Blvd, Suite E, Indio, CA 92201
- 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 Indio, CA
- Apple Urgent CareCertificate of Waiver, Physician office05D2283441
- Assad U Darawal MD IncCertificate of Waiver, Physician office05D0951760
- Carbon Health Medical GroupCertificate of Waiver, Physician office05D2150896
- Central City CommunityCertificate of Waiver, Federally qualified health center05D0885390
- Central City CommunityCertificate of Waiver, Federally qualified health center05D1046493
- Clinica Medica Del ValleCertificate of Waiver, Physician office05D2306901
- Coachella Valley Behavioral HealthCertificate of Waiver, Hospital05D2296065
- Coachella Valley Care Medical AssociatesCertificate of Waiver, Other05D2070990
- Coachella Valley Volunteers in MedicineCertificate of Waiver, Other05D2028670
- Cvs/Pharmacy #09134Certificate of Waiver, Pharmacy05D2268822
Related
Questions
What is the CLIA number for Legacy MD Medical Group Inc in Indio?
05D2299477, 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 05D2299477 expire?
The CMS file lists February 20, 2028 as the certificate expiration date; the certificate took effect February 21, 2026.