CLIA lab

CLIA 05D2136671: Amazing Grace Oasis

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

CLIA number 05D2136671 belongs to Amazing Grace Oasis in Hesperia, CA.

Certificate of Waiver, effective September 13, 2025, expires September 12, 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 13, 2025
Certificate expiration
September 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 13, 2017
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
05D2136671
Lab name
Amazing Grace Oasis
Address
13842 Lemongrass Way, Hesperia, CA 92344
Phone
(760) 949-0431
Fax
(760) 983-5616

Annual test volume the lab reported

Waived tests
365

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

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Questions

What is the CLIA number for Amazing Grace Oasis in Hesperia?

05D2136671, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Amazing Grace Oasis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2136671 expire?

The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.

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