CLIA lab

CLIA 05D2165896: Advanced Wellness Home Care Inc

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

CLIA number 05D2165896 belongs to Advanced Wellness Home Care Inc in Montclair, CA.

Certificate of Waiver, effective May 7, 2025, expires May 6, 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
May 7, 2025
Certificate expiration
May 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 7, 2019
Facility type
Home health agency
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
05D2165896
Lab name
Advanced Wellness Home Care Inc
Address
4959 Palo Verde Street, Suite 206C-5, Montclair, CA 91763
Phone
(626) 524-9390
Fax
(626) 798-2946

Annual test volume the lab reported

Waived tests
10

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

Other labs in Montclair, CA

Related

Questions

What is the CLIA number for Advanced Wellness Home Care Inc in Montclair?

05D2165896, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Wellness Home Care Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2165896 expire?

The CMS file lists May 6, 2027 as the certificate expiration date; the certificate took effect May 7, 2025.

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