CLIA lab

CLIA 05D2066436: Direct Provider of Hospice

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

CLIA number 05D2066436 belongs to Direct Provider of Hospice in Rancho Cucamonga, CA.

Certificate of Waiver, effective February 23, 2025, expires February 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
February 23, 2025
Certificate expiration
February 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 26, 2013
Facility type
Hospice
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
05D2066436
Lab name
Direct Provider of Hospice
Address
9320 Baseline Rd Ste B2, Rancho Cucamonga, CA 91701
Phone
(909) 319-0635
Fax
(909) 944-3878

Annual test volume the lab reported

Waived tests
50

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

Affiliated CLIA numbers

Other labs in Rancho Cucamonga, CA

Related

Questions

What is the CLIA number for Direct Provider of Hospice in Rancho Cucamonga?

05D2066436, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Direct Provider of Hospice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2066436 expire?

The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.

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