CLIA lab

CLIA 05D2064242: ST Carmen Health Providers Inc

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

CLIA number 05D2064242 belongs to ST Carmen Health Providers Inc in Glendora, CA.

Certificate of Waiver, effective August 16, 2025, expires August 15, 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
August 16, 2025
Certificate expiration
August 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 16, 2013
Facility type
Hospice
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
05D2064242
Lab name
ST Carmen Health Providers Inc
Address
2030 E Rte 66, Ste 200, Glendora, CA 91740
Phone
(626) 335-2167
Fax
(626) 387-9991

Annual test volume the lab reported

Waived tests
365

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

Other labs in Glendora, CA

Related

Questions

What is the CLIA number for ST Carmen Health Providers Inc in Glendora?

05D2064242, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Carmen Health Providers Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2064242 expire?

The CMS file lists August 15, 2027 as the certificate expiration date; the certificate took effect August 16, 2025.

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