CLIA lab
CLIA 05D2162644: Antelope Valley Supportive Care
Lancaster, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2162644 belongs to Antelope Valley Supportive Care in Lancaster, CA.
Certificate of Waiver, effective February 27, 2025, expires February 26, 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
- February 27, 2025
- Certificate expiration
- February 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 2019
- 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
- 05D2162644
- Lab name
- Antelope Valley Supportive Care
- Additional name
- And Hospice, Inc
- Address
- 1505 West Ave J, Ste 303, Lancaster, CA 93534
- Phone
- (661) 247-8345
- Fax
- (661) 247-8346
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lancaster, CA
- Aaron J Epstein, MD IncCertificate of Waiver, Physician office05D2319677
- Advanced EndoscopyCertificate of Waiver, Ambulatory surgery center05D1035053
- Alb Hospice Care IncCertificate of Waiver, Home health agency05D2200480
- Alderbrook, IncCertificate of Waiver, Skilled nursing or nursing facility05D2155409
- Alpha Recovery CenterCertificate of Waiver, Other05D2284356
- Antelope Valley Adult DayCertificate of Waiver, Other05D2224364
- Antelope Valley Cardiology AssociatesCertificate of Waiver, Physician office05D0979804
- Antelope Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0880902
- Antelope Valley Clinical TrialsCertificate of Waiver, Physician office05D2013996
- Antelope Valley Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0587935
Related
Questions
What is the CLIA number for Antelope Valley Supportive Care in Lancaster?
05D2162644, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Antelope Valley Supportive Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2162644 expire?
The CMS file lists February 26, 2027 as the certificate expiration date; the certificate took effect February 27, 2025.