CLIA lab

CLIA 05D2307450: Scpmg Wildomar Trail Mohs

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

CLIA number 05D2307450 belongs to Scpmg Wildomar Trail Mohs in Wildomar, CA.

Certificate of Compliance, effective August 27, 2025, expires August 26, 2027.

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 Compliance
Certificate effective
August 27, 2025
Certificate expiration
August 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 9, 2024
Facility type
Health maintenance organization
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
05D2307450
Lab name
Scpmg Wildomar Trail Mohs
Address
22750 Wildomar Trail, Wildomar, CA 92595
Phone
(951) 353-3522
Fax
(818) 503-6532

Annual test volume the lab reported

Other nonwaived tests
300

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

Other labs in Wildomar, CA

Related

Questions

What is the CLIA number for Scpmg Wildomar Trail Mohs in Wildomar?

05D2307450, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Wildomar Trail Mohs hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D2307450 expire?

The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.

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