CLIA lab
CLIA 05D2308901: Moreno Valley Modern Dentistry
Moreno Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2308901 belongs to Moreno Valley Modern Dentistry in Moreno Valley, CA.
Certificate of Waiver, effective August 6, 2024, expiration date August 5, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- August 6, 2024
- Certificate expiration
- August 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 6, 2024
- Facility type
- Other practitioner
- 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
- 05D2308901
- Lab name
- Moreno Valley Modern Dentistry
- Address
- 24119 Hemlock Ave Ste 108, Moreno Valley, CA 92557
- Phone
- (951) 220-6980
- Fax
- (951) 465-2634
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Moreno Valley, CA
- Alessandro Clinica Medica FamiliarCertificate of Waiver, Physician office05D2054569
- Angels Home Care ProvidersCertificate of Waiver, Home health agency05D2297987
- Antonio A Tan Medical ClinicCertificate of Waiver, Physician office05D0857471
- Apple Urgent Care - MVCertificate of Waiver, Physician office05D2181710
- Armando Franco MD IncCertificate of Waiver, Physician office05D0872104
- Biolife Plasma Services LPCertificate of Compliance, Other05D2213540
- Biomat USA, IncCertificate of Accreditation, Other05D1081650
- California Medical Clinic, IncCertificate of Waiver, Physician office05D0961849
- Canyon Springs DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1081250
- Central Occupational Medicine ProvidersCertificate of Waiver, Industrial05D2161544
Related
Questions
What is the CLIA number for Moreno Valley Modern Dentistry in Moreno Valley?
05D2308901, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moreno Valley Modern Dentistry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2308901 expire?
The CMS file lists August 5, 2026 as the certificate expiration date; the certificate took effect August 6, 2024.