CLIA lab
CLIA 05D1104931: Premier Healthcare Services, LLC
Stevenson Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1104931 belongs to Premier Healthcare Services, LLC in Stevenson Ranch, CA.
Certificate of Waiver, effective September 14, 2025, expires September 13, 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
- September 14, 2025
- Certificate expiration
- September 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2009
- Facility type
- Home health agency
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1104931
- Lab name
- Premier Healthcare Services, LLC
- Address
- 25129 The Old Road Ste 320, Stevenson Ranch, CA 91381
- Phone
- (661) 253-1100
- Fax
- (888) 598-0409
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Aveanna HealthcareCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Stevenson Ranch, CA
Related
Questions
What is the CLIA number for Premier Healthcare Services, LLC in Stevenson Ranch?
05D1104931, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Healthcare Services, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1104931 expire?
The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.