CLIA lab
CLIA 05D1104649: Our House - Westberry
Madera, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1104649 belongs to Our House - Westberry in Madera, CA.
Certificate of Waiver, effective June 29, 2025, expires June 28, 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
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
- June 29, 2025
- Certificate expiration
- June 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 8, 2009
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1104649
- Lab name
- Our House - Westberry
- Address
- 2701 Westgate Dr, Madera, CA 93637
- Phone
- (559) 673-1566
- Fax
- (559) 674-5852
Annual test volume the lab reported
- Waived tests
- 1,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Madera, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2279196
- Almond-Wood DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1070786
- Amsted - Bac Madera Health CenterCertificate of Waiver, Other05D2043203
- Bangash Family MedicineCertificate of Waiver, Physician office05D2308995
- Baz Allergy Asthma & Sinus CenterCertificate of Waiver, Physician office05D2263603
- CF Madera, LLCCertificate of Waiver, Skilled nursing or nursing facility05D0643538
- Camarena HealthCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0704826
- Camarena HealthCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2031439
- Camarena HealthCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2084492
- Camarena HealthCertificate for Provider-Performed Microscopy Procedures, Other05D2203500
Related
Questions
What is the CLIA number for Our House - Westberry in Madera?
05D1104649, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our House - Westberry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1104649 expire?
The CMS file lists June 28, 2027 as the certificate expiration date; the certificate took effect June 29, 2025.