CLIA lab

CLIA 05D0912040: Emanate Health Medical Care Foundation

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

CLIA number 05D0912040 belongs to Emanate Health Medical Care Foundation in San Dimas, CA.

Certificate for Provider-Performed Microscopy Procedures, effective February 23, 2026, expires February 22, 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 for Provider-Performed Microscopy Procedures
Certificate effective
February 23, 2026
Certificate expiration
February 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 21, 1996
Facility type
Other
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
05D0912040
Lab name
Emanate Health Medical Care Foundation
Address
1305 W Arrow Highway Ste 103-104, San Dimas, CA 91773
Phone
(909) 394-9004
Fax
(909) 394-9461

Annual test volume the lab reported

Waived tests
260
Provider-performed microscopy tests
200
Total
460

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

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Related

Questions

What is the CLIA number for Emanate Health Medical Care Foundation in San Dimas?

05D0912040, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Emanate Health Medical Care Foundation hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0912040 expire?

The CMS file lists February 22, 2028 as the certificate expiration date; the certificate took effect February 23, 2026.

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