CLIA lab

CLIA 05D2305490: Mission City Community Network, Inc.

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

CLIA number 05D2305490 belongs to Mission City Community Network, Inc. in Barstow, CA.

Certificate of Waiver, effective May 31, 2026, expires May 30, 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 31, 2026
Certificate expiration
May 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 31, 2024
Facility type
Community clinic
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2305490
Lab name
Mission City Community Network, Inc.
Address
401 E Buena Vista St, Barstow, CA 92311
Phone
(818) 895-3100
Fax
(818) 830-5691

Annual test volume the lab reported

Waived tests
2,000

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

Affiliated CLIA numbers

Other labs in Barstow, CA

Related

Questions

What is the CLIA number for Mission City Community Network, Inc. in Barstow?

05D2305490, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mission City Community Network, Inc. hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2305490 expire?

The CMS file lists May 30, 2028 as the certificate expiration date; the certificate took effect May 31, 2026.

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