CLIA lab
CLIA 05D0609905: Grace Home
Livingston, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0609905 belongs to Grace Home in Livingston, 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
- December 21, 1992
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 05D0609905
- Lab name
- Grace Home
- Address
- 13435 W Peach Ave, Livingston, CA 95334
- Phone
- (209) 394-2440
- Fax
- (209) 233-3045
Annual test volume the lab reported
- Waived tests
- 275
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Grace Home in Livingston?
05D0609905, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grace Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0609905 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.