CLIA lab

CLIA 05D1075715: Clinica Medica Centro Hispano

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

CLIA number 05D1075715 belongs to Clinica Medica Centro Hispano in Upland, CA.

Certificate of Waiver, effective October 26, 2025, expires October 25, 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 26, 2025
Certificate expiration
October 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 26, 2007
Facility type
Physician office
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
05D1075715
Lab name
Clinica Medica Centro Hispano
Address
360 E 7th St, Ste H, Upland, CA 91786
Phone
(909) 985-8031

Annual test volume the lab reported

Waived tests
100

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 Clinica Medica Centro Hispano in Upland?

05D1075715, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clinica Medica Centro Hispano hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1075715 expire?

The CMS file lists October 25, 2027 as the certificate expiration date; the certificate took effect October 26, 2025.

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