CLIA lab
CLIA 05D1042330: Keith Mark Gross MD Inc
Upland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1042330 belongs to Keith Mark Gross MD Inc in Upland, CA.
Certificate of Compliance, effective February 8, 2026, expires February 7, 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 Compliance
- Certificate effective
- February 8, 2026
- Certificate expiration
- February 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2005
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1042330
- Lab name
- Keith Mark Gross MD Inc
- Address
- 1113 Alta Ave, Ste 200, Upland, CA 91786
- Phone
- (909) 985-1948
- Fax
- (760) 951-2455
Annual test volume the lab reported
- Other nonwaived tests
- 85
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Upland, CA
- A and E Home Health Services IncCertificate of Waiver, Home health agency05D1021512
- Advanced Medical and Urgent Care CenterCertificate of Waiver, Physician office05D2022051
- Advantage Hospice Providers, Inc.Certificate of Waiver, Hospice05D2066718
- Agape Home Care IncCertificate of Waiver, Home health agency05D0903955
- Alwan MD IncCertificate of Waiver, Physician office05D1018189
- Apf Hospice, IncCertificate of Waiver, Hospice05D2307530
- Ark Home Health, IncCertificate of Waiver, Home health agency05D2341172
- Art of Healing Home Health Care, IncCertificate of Waiver, Home health agency05D2161919
- Aspire Healthcare ServicesCertificate of Waiver, Home health agency05D2076621
- Badday Medical Professional CorporationCertificate of Waiver, Physician office05D0947852
Related
Questions
What is the CLIA number for Keith Mark Gross MD Inc in Upland?
05D1042330, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keith Mark Gross MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1042330 expire?
The CMS file lists February 7, 2028 as the certificate expiration date; the certificate took effect February 8, 2026.