CLIA lab

CLIA 05D0937017: Rai Foothills Blvd-Glendora

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

CLIA number 05D0937017 belongs to Rai Foothills Blvd-Glendora in Glendora, CA.

Certificate of Waiver, effective March 23, 2025, expires March 22, 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
March 23, 2025
Certificate expiration
March 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 1997
Facility type
End stage renal disease dialysis 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
05D0937017
Lab name
Rai Foothills Blvd-Glendora
Address
120 W Foothill Blvd, Glendora, CA 91741
Phone
(626) 335-7551
Fax
(626) 335-0962

Annual test volume the lab reported

Waived tests
750

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 Rai Foothills Blvd-Glendora in Glendora?

05D0937017, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rai Foothills Blvd-Glendora hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0937017 expire?

The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.

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