CLIA lab
CLIA 05D1101049: Direct Provider of Healthcare Services, Inc
Rancho Cucamonga, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1101049 belongs to Direct Provider of Healthcare Services, Inc in Rancho Cucamonga, CA.
Certificate of Waiver, effective June 18, 2025, expires June 17, 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
- June 18, 2025
- Certificate expiration
- June 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 2009
- 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
- 05D1101049
- Lab name
- Direct Provider of Healthcare Services, Inc
- Address
- 9320 Baseline Rd Ste B, Rancho Cucamonga, CA 91701
- Phone
- (909) 319-0635
- Fax
- (909) 944-3878
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Direct Provider of Healthcare Services, IncCMS Care Compare ratings for the facility at the same street address
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- American Medical ResponseCertificate of Waiver, Ambulance05D0865015
- Apple Healthcare Inc.Certificate of Waiver, Home health agency05D2035784
- Archibald Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center05D1036267
- Armada Wellness and Family CareCertificate of Waiver, Physician office05D2058798
- Arrow Occupational Medicine CenterCertificate of Waiver, Physician office05D2136047
Related
Questions
What is the CLIA number for Direct Provider of Healthcare Services, Inc in Rancho Cucamonga?
05D1101049, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Direct Provider of Healthcare Services, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1101049 expire?
The CMS file lists June 17, 2027 as the certificate expiration date; the certificate took effect June 18, 2025.