CLIA lab
CLIA 05D0575267: Lasalle Medical Associates 17th ST
San Bernardino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0575267 belongs to Lasalle Medical Associates 17th ST in San Bernardino, CA.
Certificate of Waiver, effective April 26, 2025, expires April 25, 2027.
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
- April 26, 2025
- Certificate expiration
- April 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0575267
- Lab name
- Lasalle Medical Associates 17th ST
- Address
- 1505 W 17th Street, San Bernardino, CA 92411
- Phone
- (909) 887-6494
- Fax
- (909) 887-6043
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Bernardino, CA
- Advanced DermatologyCertificate of Compliance, Physician office05D2085668
- Advanced Healthcare for WomenCertificate of Waiver, Other practitioner05D2301657
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D2172605
- Alejandro Pediatrics IncCertificate of Waiver, Physician office05D0980884
- All Ives Matter HospiceCertificate of Waiver, Hospice05D2197088
- All in One Home Health Agency IncCertificate of Waiver, Home health agency05D2041505
- Ally Hospice CorporationCertificate of Waiver, Hospice05D2163100
- Alta Hospice of CaliforniaCertificate of Waiver, Hospice05D2274268
- Amalfi Hospice Care, IncCertificate of Waiver, Hospice05D2160118
- Apple Urgent CareCertificate of Waiver, Physician office05D2284437
Related
Questions
What is the CLIA number for Lasalle Medical Associates 17th ST in San Bernardino?
05D0575267, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lasalle Medical Associates 17th ST hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0575267 expire?
The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.