CLIA lab
CLIA 05D2057513: Kohl's Wellness Center - San Bernardino
San Bernardino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2057513 belongs to Kohl's Wellness Center - San Bernardino in San Bernardino, CA.
Certificate of Waiver, effective October 19, 2026, expires October 18, 2028.
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
- October 19, 2026
- Certificate expiration
- October 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2013
- Facility type
- Physician office
- 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
- 05D2057513
- Lab name
- Kohl's Wellness Center - San Bernardino
- Address
- 890 E Mill St, San Bernardino, CA 92408
- Phone
- (414) 566-8452
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Bernardino, CA
- Advanced DermatologyCertificate of Compliance, Physician office05D2085668
- Advanced Healthcare for WomenCertificate of Waiver, Other practitioner05D2301657
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D2172605
- Alejandro Pediatrics IncCertificate of Waiver, Physician office05D0980884
- All Ives Matter HospiceCertificate of Waiver, Hospice05D2197088
- All in One Home Health Agency IncCertificate of Waiver, Home health agency05D2041505
- Ally Hospice CorporationCertificate of Waiver, Hospice05D2163100
- Alta Hospice of CaliforniaCertificate of Waiver, Hospice05D2274268
- Amalfi Hospice Care, IncCertificate of Waiver, Hospice05D2160118
- Apple Urgent CareCertificate of Waiver, Physician office05D2284437
Related
Questions
What is the CLIA number for Kohl's Wellness Center - San Bernardino in San Bernardino?
05D2057513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kohl's Wellness Center - San Bernardino hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2057513 expire?
The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.