CLIA lab
CLIA 05D1092174: Upland Grove Medical Group
Upland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1092174 belongs to Upland Grove Medical Group in Upland, CA.
Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2008
- 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
- 05D1092174
- Lab name
- Upland Grove Medical Group
- Address
- 1330 San Bernardino Rd Ste B, Upland, CA 91786
- Phone
- (800) 804-2168
- Fax
- (866) 695-1267
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Upland, CA
- A and E Home Health Services IncCertificate of Waiver, Home health agency05D1021512
- Advanced Medical and Urgent Care CenterCertificate of Waiver, Physician office05D2022051
- Advantage Hospice Providers, Inc.Certificate of Waiver, Hospice05D2066718
- Agape Home Care IncCertificate of Waiver, Home health agency05D0903955
- Alwan MD IncCertificate of Waiver, Physician office05D1018189
- Apf Hospice, IncCertificate of Waiver, Hospice05D2307530
- Ark Home Health, IncCertificate of Waiver, Home health agency05D2341172
- Art of Healing Home Health Care, IncCertificate of Waiver, Home health agency05D2161919
- Aspire Healthcare ServicesCertificate of Waiver, Home health agency05D2076621
- Badday Medical Professional CorporationCertificate of Waiver, Physician office05D0947852
Related
Questions
What is the CLIA number for Upland Grove Medical Group in Upland?
05D1092174, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Upland Grove Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1092174 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.