CLIA lab

CLIA 05D1052041: Gibbs Devision

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

CLIA number 05D1052041 belongs to Gibbs Devision in Upland, CA.

Certificate of Waiver, effective August 31, 2025, expires August 30, 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
August 31, 2025
Certificate expiration
August 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 16, 2006
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
05D1052041
Lab name
Gibbs Devision
Address
1463 Albright Ave, Upland, CA 91786
Phone
(909) 579-0414
Fax
(909) 579-0414

Annual test volume the lab reported

Waived tests
924

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 Gibbs Devision in Upland?

05D1052041, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gibbs Devision hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1052041 expire?

The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.

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