CLIA lab

CLIA 05D0564519: Casa Bonita Convalescent Hospital

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

CLIA number 05D0564519 belongs to Casa Bonita Convalescent Hospital in San Dimas, CA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 3, 1993
Facility type
Skilled nursing or nursing facility
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
05D0564519
Lab name
Casa Bonita Convalescent Hospital
Address
535 E Bonita Ave, San Dimas, CA 91773
Phone
(909) 599-1248
Fax
(909) 599-7178

Annual test volume the lab reported

Waived tests
60,000

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

Care facility at this address

Other labs in San Dimas, CA

Related

Questions

What is the CLIA number for Casa Bonita Convalescent Hospital in San Dimas?

05D0564519, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Casa Bonita Convalescent Hospital hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0564519 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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