CLIA lab
CLIA 05D1009096: Legacy Health Care Providers Inc
Covina, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1009096 belongs to Legacy Health Care Providers Inc in Covina, CA.
Certificate of Waiver, effective February 6, 2025, expires February 5, 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
- February 6, 2025
- Certificate expiration
- February 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 6, 2003
- 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
- 05D1009096
- Lab name
- Legacy Health Care Providers Inc
- Address
- 1272 East Center Court Drive Suite 203, Covina, CA 91724
- Phone
- (626) 858-5611
- Fax
- (626) 858-5614
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Legacy Health Care Providers IncCMS Care Compare ratings for the facility at the same street address
Other labs in Covina, CA
- 24-Seven Home Health LLCCertificate of Waiver, Home health agency05D2008034
- Altamed Pace-CovinaCertificate of Waiver, Federally qualified health center05D2079964
- Angel Hospice Care, IncCertificate of Waiver, Hospice05D2151764
- Assissted Home Care IncCertificate of Waiver, Hospice05D2163025
- Assisted Home Recovery, IncCertificate of Waiver, Home health agency05D2310586
- Aurora Behavioral Hlth Care/CharterCertificate of Waiver, Hospital05D0873217
- Blanco Family MedicineCertificate of Waiver, Physician office05D2079424
- Boston Dermatology CorporationCertificate of Compliance, Physician office05D1003494
- Bradbourne Healthcare IncCertificate of Waiver, Home health agency05D1008691
- California Kidney SpecialistsCertificate of Waiver, Physician office05D0909741
Related
Questions
What is the CLIA number for Legacy Health Care Providers Inc in Covina?
05D1009096, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Health Care Providers Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1009096 expire?
The CMS file lists February 5, 2027 as the certificate expiration date; the certificate took effect February 6, 2025.