CLIA lab

CLIA 05D1017793: Pomona Adult Day Health Center

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

CLIA number 05D1017793 belongs to Pomona Adult Day Health Center in Pomona, CA.

Certificate of Waiver, effective October 6, 2025, expires October 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
October 6, 2025
Certificate expiration
October 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 6, 2003
Facility type
Ambulance
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
05D1017793
Lab name
Pomona Adult Day Health Center
Address
324 Paloma Drive, Pomona, CA 91767
Phone
(909) 623-7000
Fax
(909) 623-7041

Annual test volume the lab reported

Waived tests
40

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Pomona, CA

Related

Questions

What is the CLIA number for Pomona Adult Day Health Center in Pomona?

05D1017793, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pomona Adult Day Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1017793 expire?

The CMS file lists October 5, 2027 as the certificate expiration date; the certificate took effect October 6, 2025.

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