CLIA lab
CLIA 05D1080121: Rural Haven Home
Fillmore, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1080121 belongs to Rural Haven Home in Fillmore, CA.
Certificate of Waiver, effective February 14, 2026, expires February 13, 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 Waiver
- Certificate effective
- February 14, 2026
- Certificate expiration
- February 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 14, 2008
- 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
- 05D1080121
- Lab name
- Rural Haven Home
- Address
- 471 Saratoga St, Fillmore, CA 93015
- Phone
- (805) 520-3441
- Fax
- (805) 485-8170
Annual test volume the lab reported
- Waived tests
- 210
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fillmore, CA
- Bautista Medical Group SouthernCertificate of Waiver, Physician office05D2170910
- Fillmore Medical CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic05D0929612
- Greenfield Care Center of Fillmore, LLCCertificate of Waiver, Skilled nursing or nursing facility05D2082422
- Mikael Hakansson MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D1081420
- Winter Haven HomeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1080645
Related
Questions
What is the CLIA number for Rural Haven Home in Fillmore?
05D1080121, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rural Haven Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1080121 expire?
The CMS file lists February 13, 2028 as the certificate expiration date; the certificate took effect February 14, 2026.