CLIA lab

CLIA 05D2112980: Calstro Hospice Inc

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

CLIA number 05D2112980 belongs to Calstro Hospice Inc in Montclair, CA.

Certificate of Waiver, effective May 12, 2026, expires May 11, 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
May 12, 2026
Certificate expiration
May 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 12, 2016
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
05D2112980
Lab name
Calstro Hospice Inc
Address
4959 Palo Verde Street, Suite 108B, Montclair, CA 91763
Phone
(909) 399-0700
Fax
(909) 399-0733

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Calstro Hospice Inc in Montclair?

05D2112980, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Calstro Hospice Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2112980 expire?

The CMS file lists May 11, 2028 as the certificate expiration date; the certificate took effect May 12, 2026.

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