CLIA lab

CLIA 05D2029768: Carelon Health

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

CLIA number 05D2029768 belongs to Carelon Health in West Covina, CA.

Certificate of Waiver, effective September 14, 2025, expires September 13, 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 14, 2025
Certificate expiration
September 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 14, 2011
Facility type
Physician office
Ownership (control type)
Private
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
05D2029768
Lab name
Carelon Health
Address
301 N Azusa Ave, West Covina, CA 91791
Phone
(763) 290-5430

Annual test volume the lab reported

Waived tests
800

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

Affiliated CLIA numbers

Other labs in West Covina, CA

Related

Questions

What is the CLIA number for Carelon Health in West Covina?

05D2029768, 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 05D2029768 expire?

The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.

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