CLIA lab

CLIA 05D1047196: Saad Pediatric Medical Group

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

CLIA number 05D1047196 belongs to Saad Pediatric Medical Group in Upland, CA.

Certificate of Waiver, effective October 28, 2025, expires October 27, 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
October 28, 2025
Certificate expiration
October 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2005
Facility type
Hospice
Ownership (control type)
Private
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
05D1047196
Lab name
Saad Pediatric Medical Group
Address
630 N 13th Ave, Suite E, Upland, CA 91786
Phone
(909) 946-6676
Fax
(909) 946-7368

Annual test volume the lab reported

Waived tests
900

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 Saad Pediatric Medical Group in Upland?

05D1047196, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Saad Pediatric Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1047196 expire?

The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.

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