CLIA lab

CLIA 05D2001293: Hillside House

Yucaipa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2001293 belongs to Hillside House in Yucaipa, CA.

Certificate of Waiver, effective December 16, 2025, expires December 15, 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
December 16, 2025
Certificate expiration
December 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 16, 2009
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
05D2001293
Lab name
Hillside House
Address
12000 Peachtree Lane #1, Yucaipa, CA 92399
Phone
(909) 790-0986
Fax
(909) 798-5082

Annual test volume the lab reported

Waived tests
1,095

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Hillside House in Yucaipa?

05D2001293, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hillside House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2001293 expire?

The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.

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