CLIA lab

CLIA 05D0702847: Grand Terrace Health Care Center

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

CLIA number 05D0702847 belongs to Grand Terrace Health Care Center in Grand Terrace, 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
August 3, 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
05D0702847
Lab name
Grand Terrace Health Care Center
Address
12000 Mt Vernon Ave, Grand Terrace, CA 92313
Phone
(909) 825-5221
Fax
(909) 783-7725

Annual test volume the lab reported

Waived tests
31,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Grand Terrace, CA

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Questions

What is the CLIA number for Grand Terrace Health Care Center in Grand Terrace?

05D0702847, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grand Terrace Health Care Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0702847 expire?

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

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