CLIA lab
CLIA 05D2001476: Providence Home Health High Desert
Hesperia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2001476 belongs to Providence Home Health High Desert in Hesperia, CA.
Certificate of Waiver, effective December 21, 2025, expires December 20, 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 21, 2025
- Certificate expiration
- December 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2009
- Facility type
- Home health agency
- Ownership (control type)
- Other
- 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
- 05D2001476
- Lab name
- Providence Home Health High Desert
- Address
- 17051 Main St, Hesperia, CA 92345
- Phone
- (760) 956-4119
- Fax
- (909) 984-4700
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Providence Home Health High DesertCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Providence Home Health High Desert in Hesperia?
05D2001476, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Home Health High Desert hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2001476 expire?
The CMS file lists December 20, 2027 as the certificate expiration date; the certificate took effect December 21, 2025.