CLIA lab
CLIA 05D2324667: Legacy MD Medical Group Inc
Brawley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2324667 belongs to Legacy MD Medical Group Inc in Brawley, CA.
Certificate of Waiver, effective May 29, 2025, expires May 28, 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
- May 29, 2025
- Certificate expiration
- May 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 29, 2025
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2324667
- Lab name
- Legacy MD Medical Group Inc
- Address
- 290 Main St, Brawley, CA 92227
- Phone
- (760) 550-1685
- Fax
- (442) 615-2060
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Brawley, CA
- Brawley Endoscopy and Surgery Center DBA ValleyCertificate of Waiver, Physician office05D0932732
- Brawley Primary Health ClinicCertificate of Waiver, Physician office05D2290763
- Clinicas De Salud Del PuebloCertificate of Waiver, Community clinic05D0060945
- Dayout AdhcCertificate of Waiver, Other05D0994363
- Easyaccess Medical Group IncCertificate of Waiver, Physician office05D2326187
- Fresenius Medical Care of BrawleyCertificate of Waiver, End stage renal disease dialysis facility05D1046692
- Imperial Valley Family Care Medical GroupCertificate of Waiver, Physician office05D2125367
- Jay Kenneth P Buenaflor, MD A Medical CorporationCertificate of Waiver, Physician office05D1072544
- La Suarez ApcCertificate of Waiver, Physician office05D2304269
- La Suarez ApcCertificate of Waiver, Physician office05D2304705
Related
Questions
What is the CLIA number for Legacy MD Medical Group Inc in Brawley?
05D2324667, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy MD Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2324667 expire?
The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.