CLIA lab
CLIA 05D2343036: Benton Modern Dentistry
Winchester, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2343036 belongs to Benton Modern Dentistry in Winchester, CA.
Certificate of Waiver, effective April 30, 2026, expires April 29, 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
- April 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2026
- 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
- 05D2343036
- Lab name
- Benton Modern Dentistry
- Address
- 30890 Benton Rd, Ste 101, Winchester, CA 92596
- Phone
- (951) 592-3447
- Fax
- (951) 325-4402
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 Winchester, CA
Related
Questions
What is the CLIA number for Benton Modern Dentistry in Winchester?
05D2343036, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Benton Modern Dentistry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2343036 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.