CLIA lab

CLIA 05D2029206: Windsor House

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

CLIA number 05D2029206 belongs to Windsor House in Yucaipa, CA.

Certificate of Waiver, effective September 1, 2025, expires August 31, 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 1, 2025
Certificate expiration
August 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 2011
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
05D2029206
Lab name
Windsor House
Address
35388 Fir St, Yucaipa, CA 92399
Phone
(909) 797-0901
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.

Other labs in Yucaipa, CA

Related

Questions

What is the CLIA number for Windsor House in Yucaipa?

05D2029206, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Windsor House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2029206 expire?

The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.

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