CLIA lab

CLIA 05D0564964: Villa Mesa Care Center

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

CLIA number 05D0564964 belongs to Villa Mesa Care Center in Upland, 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
March 10, 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
05D0564964
Lab name
Villa Mesa Care Center
Address
867 East 11th Street, Upland, CA 91786
Phone
(909) 985-1981
Fax
(909) 931-3951

Annual test volume the lab reported

Waived tests
1,023

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 Upland, CA

Related

Questions

What is the CLIA number for Villa Mesa Care Center in Upland?

05D0564964, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Villa Mesa Care Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0564964 expire?

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

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