CLIA lab
CLIA 05D0643187: Mountains Community Hospital
Lake Arrowhead, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0643187 belongs to Mountains Community Hospital in Lake Arrowhead, CA.
Certificate of Accreditation, effective October 22, 2024, expiration date October 21, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 Accreditation
- Certificate effective
- October 22, 2024
- Certificate expiration
- October 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1993
- Facility type
- Hospital
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0643187
- Lab name
- Mountains Community Hospital
- Additional name
- Clinical Laboratory
- Address
- 29101 Hospital Rd, Lake Arrowhead, CA 92352
- Phone
- (909) 436-3140
- Fax
- (909) 337-6841
Annual test volume the lab reported
- Waived tests
- 3,932
- Provider-performed microscopy tests
- 4,678
- Tests under accreditation
- 84,151
- Total
- 92,761
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Mountains Community HospitalCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Lake Arrowhead, CA
- Martin Rocha MD IncCertificate of Waiver, Physician office05D1036276
- Mountains Community HospitalCertificate of Waiver, Rural health clinic05D0703816
- Mountains Community Hospital SkilledCertificate of Waiver, Skilled nursing or nursing facility05D0898196
- Serenity LodgeCertificate of Waiver, Comprehensive outpatient rehab facility05D2073865
- W Maier IncCertificate of Waiver, Physician office05D0986240
Related
Questions
What is the CLIA number for Mountains Community Hospital in Lake Arrowhead?
05D0643187, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountains Community Hospital hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D0643187 expire?
The CMS file lists October 21, 2026 as the certificate expiration date; the certificate took effect October 22, 2024.