CLIA lab

CLIA 05D1038284: Casa Colina Surgery Center

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

CLIA number 05D1038284 belongs to Casa Colina Surgery Center in Pomona, CA.

Certificate of Waiver, effective March 15, 2025, expires March 14, 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
March 15, 2025
Certificate expiration
March 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 15, 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
05D1038284
Lab name
Casa Colina Surgery Center
Address
255 E Bonita Ave Ste 3B, Pomona, CA 91767
Phone
(909) 593-3550
Fax
(909) 593-5223

Annual test volume the lab reported

Waived tests
700

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 Casa Colina Surgery Center in Pomona?

05D1038284, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Casa Colina Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1038284 expire?

The CMS file lists March 14, 2027 as the certificate expiration date; the certificate took effect March 15, 2025.

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