CLIA lab
CLIA 05D0955932: CP Inland Empire S-Ca, LLC DBA Providence at Home
Pomona, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0955932 belongs to CP Inland Empire S-Ca, LLC DBA Providence at Home in Pomona, CA.
Certificate of Waiver, effective January 13, 2025, expires January 12, 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
- January 13, 2025
- Certificate expiration
- January 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1999
- Facility type
- Home health agency
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0955932
- Lab name
- CP Inland Empire S-Ca, LLC DBA Providence at Home
- Additional name
- With Compassus Home Health, Inland Empire
- Address
- 3201 W Temple Ave Ste 200, Pomona, CA 91768
- Phone
- (909) 895-8841
- Fax
- (855) 592-1166
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Providence at Home With Compassus Home Health, Inland EmpireCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Pomona, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0686988
- All American Community Health Center IncCertificate of Waiver, Community clinic05D2274135
- Allegiant Healthcare, IncCertificate of Waiver, Home health agency05D2172969
- Altamed - Pace PomonaCertificate of Waiver, Federally qualified health center05D2318142
- American National Red CrossCertificate of Accreditation, Blood bank05D0642412
- American National Red Cross - Pomona, theCertificate of Waiver, Blood bank05D2239874
- Antonio M Garcia, MDCertificate of Waiver, Physician office05D0887027
- Biolife Plasma Services LPCertificate of Compliance, Other05D2232344
- CMG Clinical Laboratory andCertificate of Waiver, Physician office05D1091084
- Calcare Home Health IncCertificate of Waiver, Home health agency05D1014328
Related
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Questions
What is the CLIA number for CP Inland Empire S-Ca, LLC DBA Providence at Home in Pomona?
05D0955932, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does CP Inland Empire S-Ca, LLC DBA Providence at Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0955932 expire?
The CMS file lists January 12, 2027 as the certificate expiration date; the certificate took effect January 13, 2025.