CLIA lab
CLIA 05D2100907: Legacy Hospice and Palliative Care
Chino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2100907 belongs to Legacy Hospice and Palliative Care in Chino, CA.
Certificate of Waiver, effective August 25, 2025, expires August 24, 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 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2015
- 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
- 05D2100907
- Lab name
- Legacy Hospice and Palliative Care
- Address
- 13721 Roswell Ave Ste A, Chino, CA 91710
- Phone
- (909) 342-7005
- Fax
- (909) 891-0517
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Legacy Hospice and Palliative CareCMS Care Compare ratings for the facility at the same street address
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- Accelerated Urgent CareCertificate of Waiver, Other05D2248297
- Alpha Care Hospice Inc.Certificate of Waiver, Hospice05D2069100
- Angelicare Home Health IncCertificate of Waiver, Home health agency05D2003156
- Brio HospiceCertificate of Waiver, Hospice05D2024582
- California Institution for MenCertificate of Waiver, Prison05D0866355
- California Nursing Care Services IncCertificate of Waiver, Home health agency05D2029540
- Canyon Ridge HospitalCertificate of Waiver, Other05D0562196
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2270859
- Carehealth Medical Corporation DBA American FamilyCertificate of Waiver, Other05D2325713
Related
Questions
What is the CLIA number for Legacy Hospice and Palliative Care in Chino?
05D2100907, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Hospice and Palliative Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2100907 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.