CLIA lab
CLIA 05D1067173: Imperial Home Health
Victorville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1067173 belongs to Imperial Home Health in Victorville, CA.
Certificate of Waiver, effective April 5, 2025, expires April 4, 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
- April 5, 2025
- Certificate expiration
- April 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 11, 2007
- Facility type
- Home health agency
- 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
- 05D1067173
- Lab name
- Imperial Home Health
- Address
- 16484 Victor Street, Victorville, CA 92395
- Phone
- (760) 951-6688
- Fax
- (760) 459-2268
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Imperial Home HealthCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Imperial Home Health in Victorville?
05D1067173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Imperial Home Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1067173 expire?
The CMS file lists April 4, 2027 as the certificate expiration date; the certificate took effect April 5, 2025.