CLIA lab

CLIA 05D2319404: Tyson Medical Inc

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

CLIA number 05D2319404 belongs to Tyson Medical Inc in Calexico, CA.

Certificate of Waiver, effective February 27, 2025, expires February 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 Waiver
Certificate effective
February 27, 2025
Certificate expiration
February 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 27, 2025
Facility type
Community clinic
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
05D2319404
Lab name
Tyson Medical Inc
Additional name
DBA Imperial All Valley Urgent Care
Address
400 Mary Ave, Calexico, CA 92231
Phone
(760) 909-0516
Fax
(760) 257-1124

Annual test volume the lab reported

Waived tests
1,500

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

Affiliated CLIA numbers

Other labs in Calexico, CA

Related

Questions

What is the CLIA number for Tyson Medical Inc in Calexico?

05D2319404, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tyson Medical Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2319404 expire?

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

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