CLIA lab

CLIA 05D1086558: Lifestream Blood Bank - Riverside

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

CLIA number 05D1086558 belongs to Lifestream Blood Bank - Riverside in Riverside, CA.

Certificate of Waiver, effective September 24, 2026, expires September 23, 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
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 15, 2008
Facility type
Blood bank
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1086558
Lab name
Lifestream Blood Bank - Riverside
Address
4006 Van Buren Blvd, Riverside, CA 92503
Phone
(808) 386-6822
Fax
(909) 381-2036

Annual test volume the lab reported

Waived tests
13,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Riverside, CA

Related

Questions

What is the CLIA number for Lifestream Blood Bank - Riverside in Riverside?

05D1086558, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lifestream Blood Bank - Riverside hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1086558 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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