CLIA lab

CLIA 05D2069170: Ir Rehab Home Health Inc

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

CLIA number 05D2069170 belongs to Ir Rehab Home Health Inc in Roseville, CA.

Certificate of Waiver, effective November 19, 2025, expires November 18, 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
November 19, 2025
Certificate expiration
November 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 19, 2013
Facility type
Home health agency
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
05D2069170
Lab name
Ir Rehab Home Health Inc
Address
2250 Douglas Blvd, Ste 140, Roseville, CA 95661
Phone
(916) 913-1134
Fax
(916) 993-9122

Annual test volume the lab reported

Waived tests
99

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

Care facility at this address

  • Arias Home HealthCMS Care Compare ratings for the facility at the same street address

Other labs in Roseville, CA

Related

Questions

What is the CLIA number for Ir Rehab Home Health Inc in Roseville?

05D2069170, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ir Rehab Home Health Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2069170 expire?

The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.

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