CLIA lab
CLIA 05D1103862: Foothills Pain Management Clinic
Covina, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1103862 belongs to Foothills Pain Management Clinic in Covina, CA.
Certificate of Waiver, effective August 19, 2025, expires August 18, 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
- August 19, 2025
- Certificate expiration
- August 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 2009
- 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
- 05D1103862
- Lab name
- Foothills Pain Management Clinic
- Address
- 236 W College St, Covina, CA 91723
- Phone
- (626) 608-7320
- Fax
- (626) 608-7322
Annual test volume the lab reported
- Waived tests
- 19,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Covina, CA
- 24-Seven Home Health LLCCertificate of Waiver, Home health agency05D2008034
- Altamed Pace-CovinaCertificate of Waiver, Federally qualified health center05D2079964
- Angel Hospice Care, IncCertificate of Waiver, Hospice05D2151764
- Assissted Home Care IncCertificate of Waiver, Hospice05D2163025
- Assisted Home Recovery, IncCertificate of Waiver, Home health agency05D2310586
- Aurora Behavioral Hlth Care/CharterCertificate of Waiver, Hospital05D0873217
- Blanco Family MedicineCertificate of Waiver, Physician office05D2079424
- Boston Dermatology CorporationCertificate of Compliance, Physician office05D1003494
- Bradbourne Healthcare IncCertificate of Waiver, Home health agency05D1008691
- California Kidney SpecialistsCertificate of Waiver, Physician office05D0909741
Related
Questions
What is the CLIA number for Foothills Pain Management Clinic in Covina?
05D1103862, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Foothills Pain Management Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1103862 expire?
The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.