CLIA lab
CLIA 05D2142540: Tri-State Community Healthcare Center
Adelanto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2142540 belongs to Tri-State Community Healthcare Center in Adelanto, CA.
Certificate of Waiver, effective January 12, 2026, expires January 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 12, 2026
- Certificate expiration
- January 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 12, 2018
- Facility type
- Federally qualified health center
- 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
- 05D2142540
- Lab name
- Tri-State Community Healthcare Center
- Address
- 11888 Bartlett Ave, Adelanto, CA 92301
- Phone
- (760) 530-9944
- Fax
- (760) 530-9977
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Adelanto, CA
- Adelanto Medical ClinicCertificate of Waiver, Physician office05D0943470
- C&D IncCertificate of Waiver, Skilled nursing or nursing facility05D2119286
- Desert View AnnexCertificate of Waiver, Prison05D2203002
- Tri-State Community Healthcare CenterCertificate of Waiver, Federally qualified health center05D2195655
- Tri-State Community Healthcare CenterCertificate of Waiver, Federally qualified health center05D2271454
Related
Questions
What is the CLIA number for Tri-State Community Healthcare Center in Adelanto?
05D2142540, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2142540 expire?
The CMS file lists January 11, 2028 as the certificate expiration date; the certificate took effect January 12, 2026.