CLIA lab
CLIA 05D2009969: Victoria One Hospice Inc
San Dimas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2009969 belongs to Victoria One Hospice Inc in San Dimas, CA.
Certificate of Waiver, effective December 2, 2024, expires December 1, 2026.
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 2, 2024
- Certificate expiration
- December 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2010
- Facility type
- Hospice
- 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
- 05D2009969
- Lab name
- Victoria One Hospice Inc
- Address
- 510 E Foothill Blvd Ste 106, San Dimas, CA 91773
- Phone
- (909) 599-0055
- Fax
- (909) 599-0051
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Victoria One Hospice, IncCMS Care Compare ratings for the facility at the same street address
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- Adp San Dimas Medical DeptCertificate of Waiver, Physician office05D1029791
- Advocate Family Medicine ClinicCertificate of Waiver, Physician office05D2308185
- California Kidney SpecialistsCertificate of Waiver, Physician office05D1057202
- Careonsite-Scg San DimasCertificate of Waiver, Industrial05D2066671
- Casa Bonita Convalescent HospitalCertificate of Waiver, Skilled nursing or nursing facility05D0564519
- Citrus Pathology Medical GroupCertificate of Compliance, Independent05D2010143
- Covina Valley Urologic Medical Group, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0717406
- Dentists of San DimasCertificate of Waiver, Other practitioner05D2340230
- Emanate Health Medical CareCertificate for Provider-Performed Microscopy Procedures, Other05D0934444
Related
Questions
What is the CLIA number for Victoria One Hospice Inc in San Dimas?
05D2009969, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Victoria One Hospice Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2009969 expire?
The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.