CLIA lab
CLIA 05D1029880: Eric R Hansen DO
Hesperia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1029880 belongs to Eric R Hansen DO in Hesperia, CA.
Certificate of Waiver, effective August 25, 2026, expires August 24, 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 25, 2026
- Certificate expiration
- August 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2004
- Facility type
- Physician office
- 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
- 05D1029880
- Lab name
- Eric R Hansen DO
- Address
- 14575 Main Street, Hesperia, CA 92345
- Phone
- (760) 947-0727
- Fax
- (760) 947-6219
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.
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Related
Questions
What is the CLIA number for Eric R Hansen DO in Hesperia?
05D1029880, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eric R Hansen DO hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1029880 expire?
The CMS file lists August 24, 2028 as the certificate expiration date; the certificate took effect August 25, 2026.