CLIA lab

CLIA 05D2136618: Central Valley Juvenile Detention and

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

CLIA number 05D2136618 belongs to Central Valley Juvenile Detention and in San Bernardino, CA.

Certificate of Waiver, effective September 12, 2025, expires September 11, 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 12, 2025
Certificate expiration
September 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 12, 2017
Facility type
Other
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
05D2136618
Lab name
Central Valley Juvenile Detention and
Additional name
Assessment Center
Address
900 E Gilbert Street, San Bernardino, CA 92415
Phone
(909) 387-5878
Fax
(909) 387-9667

Annual test volume the lab reported

Waived tests
400

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 Central Valley Juvenile Detention and in San Bernardino?

05D2136618, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Central Valley Juvenile Detention and hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2136618 expire?

The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.

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