CLIA lab
CLIA 05D1029791: Adp San Dimas Medical Dept
San Dimas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1029791 belongs to Adp San Dimas Medical Dept in San Dimas, CA.
Certificate of Waiver, effective August 24, 2026, expires August 23, 2028.
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
- August 24, 2026
- Certificate expiration
- August 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2004
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1029791
- Lab name
- Adp San Dimas Medical Dept
- Address
- 400 Covina Blvd, San Dimas, CA 91773
- Phone
- (909) 592-6411
- Fax
- (909) 971-5841
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Dimas, CA
- Abundant Grace Home Ehalth Services, IncCertificate of Waiver, Home health agency05D2167419
- Advocate Family Medicine ClinicCertificate of Waiver, Physician office05D2308185
- California Kidney SpecialistsCertificate of Waiver, Physician office05D1057202
- Careonsite-Scg San DimasCertificate of Waiver, Industrial05D2066671
- Casa Bonita Convalescent HospitalCertificate of Waiver, Skilled nursing or nursing facility05D0564519
- Citrus Pathology Medical GroupCertificate of Compliance, Independent05D2010143
- Covina Valley Urologic Medical Group, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0717406
- Dentists of San DimasCertificate of Waiver, Other practitioner05D2340230
- Emanate Health Medical CareCertificate for Provider-Performed Microscopy Procedures, Other05D0934444
- Emanate Health Medical Care FoundationCertificate for Provider-Performed Microscopy Procedures, Other05D0912040
Related
Questions
What is the CLIA number for Adp San Dimas Medical Dept in San Dimas?
05D1029791, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adp San Dimas Medical Dept hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1029791 expire?
The CMS file lists August 23, 2028 as the certificate expiration date; the certificate took effect August 24, 2026.