CLIA lab

CLIA 05D2305139: Fairway Children's Medical Group Laboratory

Diamond Bar, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2305139 belongs to Fairway Children's Medical Group Laboratory in Diamond Bar, CA.

Certificate of Waiver, effective May 24, 2026, expires May 23, 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
May 24, 2026
Certificate expiration
May 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 2024
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
05D2305139
Lab name
Fairway Children's Medical Group Laboratory
Address
888 S Brea Canyon Rd Ste 330, Diamond Bar, CA 91789
Phone
(909) 594-3382
Fax
(626) 667-7633

Annual test volume the lab reported

Waived tests
800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Fairway Children's Medical Group Laboratory in Diamond Bar?

05D2305139, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fairway Children's Medical Group Laboratory hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2305139 expire?

The CMS file lists May 23, 2028 as the certificate expiration date; the certificate took effect May 24, 2026.

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