CLIA lab

CLIA 05D0720990: Lasalle Medical Associates

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

CLIA number 05D0720990 belongs to Lasalle Medical Associates in Fontana, CA.

Certificate of Waiver, effective December 14, 2025, expires December 13, 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
December 14, 2025
Certificate expiration
December 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0720990
Lab name
Lasalle Medical Associates
Address
17577 Arrow Blvd, Fontana, CA 92335
Phone
(909) 823-4454
Fax
(909) 823-6918

Annual test volume the lab reported

Waived tests
18,000

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

Affiliated CLIA numbers

Other labs in Fontana, CA

Related

Questions

What is the CLIA number for Lasalle Medical Associates in Fontana?

05D0720990, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lasalle Medical Associates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0720990 expire?

The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.

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