CLIA lab
CLIA 05D2309637: 417 South River LLC
Murrieta, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2309637 belongs to 417 South River LLC in Murrieta, CA.
Certificate of Waiver, effective August 19, 2026, expires August 18, 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
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 19, 2026
- Certificate expiration
- August 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2024
- Facility type
- Other
- 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
- 05D2309637
- Lab name
- 417 South River LLC
- Address
- 33050 Antelope Rd, Ste 201, Murrieta, CA 92563
- Phone
- (760) 702-5713
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Murrieta, CA
- A Plus Walk in Urgent CareCertificate of Waiver, Physician office05D1009441
- Abayomi A Odubela, MD A ProfessionalCertificate of Waiver, Physician office05D0912976
- Accelerated Urgent CareCertificate of Waiver, Other05D2229938
- All Star Hospice IncCertificate of Waiver, Hospice05D2173609
- Alpha Men's Wellness DBA Gameday Men's HealthCertificate of Accreditation, Physician office05D2311414
- Amelie Wagner MDCertificate of Waiver, Physician office05D2310756
- Andrew Thio MD IncCertificate of Waiver, Physician office05D2000107
- Atiga Family PracticeCertificate of Waiver, Physician office05D1014561
- Ava Vascular Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2320645
- Aveeva Hospice - SouthCertificate of Waiver, Hospice05D2225362
Related
Questions
What is the CLIA number for 417 South River LLC in Murrieta?
05D2309637, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 417 South River LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2309637 expire?
The CMS file lists August 18, 2028 as the certificate expiration date; the certificate took effect August 19, 2026.