CLIA lab
CLIA 05D1036267: Archibald Surgery Center, LLC
Rancho Cucamonga, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1036267 belongs to Archibald Surgery Center, LLC in Rancho Cucamonga, CA.
Certificate of Waiver, effective January 25, 2025, expires January 24, 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
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2005
- Facility type
- Ambulatory surgery center
- 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
- 05D1036267
- Lab name
- Archibald Surgery Center, LLC
- Address
- 9674 Archibald Ave Ste 125, Rancho Cucamonga, CA 91730
- Phone
- (909) 989-4100
- Fax
- (909) 989-5400
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aftab A Qadir, MD IncCertificate of Waiver, Physician office05D2349874
- Alaphia Care Home Health ServicesCertificate of Waiver, Home health agency05D2129316
- Allstar Health Providers, Inc.Certificate of Waiver, Home health agency05D2063979
- American All Care Services, LLCCertificate of Waiver, Hospice05D2151979
- American Medical ResponseCertificate of Waiver, Ambulance05D0865015
- Apple Healthcare Inc.Certificate of Waiver, Home health agency05D2035784
- Armada Wellness and Family CareCertificate of Waiver, Physician office05D2058798
- Arrow Occupational Medicine CenterCertificate of Waiver, Physician office05D2136047
- Bright Care Home Health ProviderCertificate of Waiver, Home health agency05D2155422
Related
Questions
What is the CLIA number for Archibald Surgery Center, LLC in Rancho Cucamonga?
05D1036267, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Archibald Surgery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1036267 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.