CLIA lab
CLIA 05D0963450: Mesa Glen Care Center
Glendora, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0963450 belongs to Mesa Glen Care Center in Glendora, CA.
Certificate of Waiver, effective July 29, 2025, expires July 28, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 29, 2025
- Certificate expiration
- July 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 1999
- Facility type
- Skilled nursing or nursing 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
- 05D0963450
- Lab name
- Mesa Glen Care Center
- Address
- 638 East Colorado Blvd, Glendora, CA 91740
- Phone
- (626) 963-6091
- Fax
- (626) 335-4415
Annual test volume the lab reported
- Waived tests
- 14,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Glendora, CA
- Accurite Health Services, IncCertificate of Waiver, Home health agency05D1099290
- Advanced DermatologyCertificate of Compliance, Physician office05D1029386
- Advent Home Health Care Services Inc11Certificate of Waiver, Home health agency05D0996358
- Arbor Glen Care CenterCertificate of Waiver, Hospice05D0689051
- Arrow Vision Center OptometryCertificate of Waiver, Other practitioner05D2159768
- Believe and Achieve RecoveryCertificate of Waiver, Other05D2321601
- Burrows Family Practice IncCertificate of Waiver, Physician office05D2126830
- Cambria Home HealthCertificate of Waiver, Home health agency05D2325756
- Capital Home Health CareCertificate of Waiver, Home health agency05D2293845
- Care Circle LLCCertificate of Waiver, Home health agency05D2186623
Related
Questions
What is the CLIA number for Mesa Glen Care Center in Glendora?
05D0963450, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mesa Glen Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0963450 expire?
The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.