CLIA lab

CLIA 05D2101194: Lakeside Hospice Care Inc

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

CLIA number 05D2101194 belongs to Lakeside Hospice Care Inc in La Habra, CA.

Certificate of Waiver, effective August 28, 2025, expires August 27, 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 28, 2025
Certificate expiration
August 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 28, 2015
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
05D2101194
Lab name
Lakeside Hospice Care Inc
Address
800 N Harbor Blvd, Ste A, La Habra, CA 90631
Phone
(714) 871-0099
Fax
(714) 871-0110

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.

Care facility at this address

Affiliated CLIA numbers

Other labs in La Habra, CA

Related

Questions

What is the CLIA number for Lakeside Hospice Care Inc in La Habra?

05D2101194, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lakeside Hospice Care Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2101194 expire?

The CMS file lists August 27, 2027 as the certificate expiration date; the certificate took effect August 28, 2025.

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