CLIA lab
CLIA 05D0935663: ST Mary Medical Center DBA Providence ST Mary
Apple Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0935663 belongs to ST Mary Medical Center DBA Providence ST Mary in Apple Valley, 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
- November 4, 1997
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- 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
- 05D0935663
- Lab name
- ST Mary Medical Center DBA Providence ST Mary
- Additional name
- Medical Center
- Address
- 18122 Highway 18, Apple Valley, CA 92307
- Phone
- (760) 946-8746
Annual test volume the lab reported
- Waived tests
- 820
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Apple Valley, CA
- A Womens Health and Maternity CenterCertificate of Waiver, Physician office05D0988920
- Advanced Dermatology, Thomas J Hoffmann, MDCertificate of Compliance, Physician office05D0688866
- Andres A. De La Llana, MD IncCertificate of Waiver, Physician office05D2135649
- Apple Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0726452
- Apple Valley Outpatient Surgical CenterCertificate of Waiver, Ambulatory surgery center05D2029279
- Apple Valley Recovery CenterCertificate of Waiver, Other05D2309633
- Birth and Womens Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office05D0952560
- Carelon HealthCertificate of Waiver, Physician office05D2011858
- Carewell Medical Group, IncCertificate of Waiver, Physician office05D2290175
- Choice Healthcare AssociatesCertificate of Waiver, Physician office05D2272125
Related
Questions
What is the CLIA number for ST Mary Medical Center DBA Providence ST Mary in Apple Valley?
05D0935663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Mary Medical Center DBA Providence ST Mary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0935663 expire?
The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.