CLIA lab
CLIA 05D0703816: Mountains Community Hospital
Lake Arrowhead, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0703816 belongs to Mountains Community Hospital in Lake Arrowhead, CA.
Certificate of Waiver, effective May 20, 2025, expires May 19, 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
- May 20, 2025
- Certificate expiration
- May 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 1993
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
- 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
- 05D0703816
- Lab name
- Mountains Community Hospital
- Additional name
- Rural Health Clinic
- Address
- 29099 Hospital Road, Lake Arrowhead, CA 92352
- Phone
- (909) 436-3033
- Fax
- (909) 336-5751
Annual test volume the lab reported
- Waived tests
- 220
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Arrowhead, CA
- Martin Rocha MD IncCertificate of Waiver, Physician office05D1036276
- Mountains Community HospitalCertificate of Accreditation, Hospital05D0643187
- 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?
05D0703816, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountains Community Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0703816 expire?
The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.