CLIA lab
CLIA 05D0996869: Capri Home Health Agency
Pomona, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0996869 belongs to Capri Home Health Agency in Pomona, CA.
Certificate of Waiver, effective June 30, 2025, expires June 29, 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
- June 30, 2025
- Certificate expiration
- June 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 28, 2002
- Facility type
- Home health agency
- 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
- 05D0996869
- Lab name
- Capri Home Health Agency
- Additional name
- DBA Prolife Home Health Corp
- Address
- 3425 Pomona Blvd, Unit D, Pomona, CA 91768
- Phone
- (626) 810-0207
- Fax
- (626) 810-0250
Annual test volume the lab reported
- Waived tests
- 2
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Prolife Home Health CorporationCMS Care Compare ratings for the facility at the same street address
Other labs in Pomona, CA
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- 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
- CP Inland Empire S-Ca, LLC DBA Providence at HomeCertificate of Waiver, Home health agency05D0955932
Related
Questions
What is the CLIA number for Capri Home Health Agency in Pomona?
05D0996869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Capri Home Health Agency hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0996869 expire?
The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.