CLIA lab
CLIA 05D2011858: Carelon Health
Apple Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2011858 belongs to Carelon Health in Apple Valley, CA.
Certificate of Waiver, effective April 23, 2025, expires April 22, 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
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 24, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2011858
- Lab name
- Carelon Health
- Address
- 19059 Bear Valley Rd, Apple Valley, CA 92308
- Phone
- (763) 290-5430
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Apple Valley, CA
- A Womens Health and Maternity CenterCertificate of Waiver, Physician office05D0988920
- Advanced Dermatology, Thomas J Hoffmann, MDCertificate of Compliance, Physician office05D0688866
- Andres A. De La Llana, MD IncCertificate of Waiver, Physician office05D2135649
- Apple Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0726452
- Apple Valley Outpatient Surgical CenterCertificate of Waiver, Ambulatory surgery center05D2029279
- Apple Valley Recovery CenterCertificate of Waiver, Other05D2309633
- Birth and Womens Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office05D0952560
- Carewell Medical Group, IncCertificate of Waiver, Physician office05D2290175
- Choice Healthcare AssociatesCertificate of Waiver, Physician office05D2272125
- Corwin Urgent Care Center IncCertificate of Waiver, Other05D0898727
Related
Questions
What is the CLIA number for Carelon Health in Apple Valley?
05D2011858, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carelon Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2011858 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.