CLIA lab
CLIA 05D2345809: Clinton Keith Dental Group
Wildomar, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2345809 belongs to Clinton Keith Dental Group in Wildomar, CA.
Certificate of Waiver, effective June 17, 2026, expires June 16, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 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
- 05D2345809
- Lab name
- Clinton Keith Dental Group
- Address
- 23905 Clinton Keith Rd, Ste 108, Wildomar, CA 92595
- Phone
- (951) 304-9700
- Fax
- (951) 304-9711
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 Wildomar, CA
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- Bear Creek Dental GroupCertificate of Waiver, Other practitioner05D2287673
- Childrens Primary Care Medical Group IncCertificate of Waiver, Physician office05D0985888
- Golden Oak Medical Group IncCertificate of Waiver, Physician office05D2274798
- Inscriptions Children's ClinicCertificate of Waiver, Physician office05D2019878
- Kensington Diagnostics LLCCertificate of Registration, Physician office05D2087480
- Kinder Care Home Health, IncCertificate of Waiver, Home health agency05D2285883
- Marcella Bonnici, MDCertificate of Waiver, Physician office05D2020566
- Murrieta Valley Surgery AssociatesCertificate of Waiver, Physician office05D2182744
- Murrieta Valley Surgery Center IncCertificate of Waiver, Ambulatory surgery center05D2121680
Related
Questions
What is the CLIA number for Clinton Keith Dental Group in Wildomar?
05D2345809, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinton Keith Dental Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2345809 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.