CLIA lab
CLIA 05D0574080: Plymouth Village
Redlands, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0574080 belongs to Plymouth Village in Redlands, 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
- June 15, 1994
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 05D0574080
- Lab name
- Plymouth Village
- Address
- 819 Salem Drive, Redlands, CA 92373
- Phone
- (909) 793-1233
- Fax
- (909) 798-5172
Annual test volume the lab reported
- Waived tests
- 41,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Plymouth VillageCMS Care Compare ratings for the facility at the same street address
Other labs in Redlands, CA
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- Advanced Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1035143
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2144759
- Ag Redlands LLCCertificate of Waiver, Skilled nursing or nursing facility05D0862295
- American Medical Response of Inland EmpireCertificate of Waiver, Ambulance05D0867158
- Amerihealth Hospice Provider, IncCertificate of Waiver, Hospice05D1061035
- Anderson Clinical ResearchCertificate of Waiver, Other05D1029432
- Archis Desai MD IncCertificate of Waiver, Physician office05D2313619
- Archis Desai MD IncCertificate of Waiver, Physician office05D2346087
- Arrowhead Family Health Center-RedlandsCertificate of Waiver, Physician office05D2141330
Related
Questions
What is the CLIA number for Plymouth Village in Redlands?
05D0574080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Plymouth Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0574080 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.