CLIA lab
CLIA 05D0717167: Del Rosa Villa
San Bernardino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0717167 belongs to Del Rosa Villa in San Bernardino, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- May 3, 1994
- 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
- 05D0717167
- Lab name
- Del Rosa Villa
- Address
- 2018 Del Rosa Ave, San Bernardino, CA 92404
- Phone
- (909) 885-3261
Annual test volume the lab reported
- Waived tests
- 32,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Del Rosa Villa in San Bernardino?
05D0717167, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Del Rosa Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0717167 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.