CLIA lab

CLIA 05D2107459: Affective Hospice Care, Inc

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

CLIA number 05D2107459 belongs to Affective Hospice Care, Inc in Montclair, CA.

Certificate of Waiver, effective January 14, 2026, expires January 13, 2028.

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
January 14, 2026
Certificate expiration
January 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 14, 2016
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
05D2107459
Lab name
Affective Hospice Care, Inc
Address
5050 Palo Verde St Ste 208, Montclair, CA 91763
Phone
(909) 962-7488
Fax
(909) 962-7322

Annual test volume the lab reported

Waived tests
730

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

Care facility at this address

  • Aloria HealthcareCMS Care Compare ratings for the facility at the same street address

Affiliated CLIA numbers

Other labs in Montclair, CA

Related

Questions

What is the CLIA number for Affective Hospice Care, Inc in Montclair?

05D2107459, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Affective Hospice Care, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2107459 expire?

The CMS file lists January 13, 2028 as the certificate expiration date; the certificate took effect January 14, 2026.

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