CLIA lab
CLIA 05D2101819: Angel's Home ICF, Inc.
Stockton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2101819 belongs to Angel's Home ICF, Inc. in Stockton, CA.
Certificate of Waiver, effective September 10, 2025, expires September 9, 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
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2015
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D2101819
- Lab name
- Angel's Home ICF, Inc.
- Address
- 10712 Waterbury Dr, Stockton, CA 95209
- Phone
- (209) 851-8842
- Fax
- (209) 851-8843
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Stockton, CA
- 1st Choice Home Health Care & Hospice IncCertificate of Waiver, Home health agency05D2233102
- 21st Century Home Care LLCCertificate of Waiver, Home health agency05D2301609
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1089187
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973347
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102461
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102462
- Agile Occupational Medicine PCCertificate of Waiver, Physician office05D2295151
- Allcare Hospitalist Medical Group - StocktonCertificate of Waiver, Physician office05D2319940
- American GenomicsCertificate of Registration, Independent05D2349163
- American Medical ResponseCertificate of Waiver, Ambulance05D2050527
Related
Questions
What is the CLIA number for Angel's Home ICF, Inc. in Stockton?
05D2101819, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Angel's Home ICF, Inc. hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2101819 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.