CLIA lab
CLIA 05D2167419: Abundant Grace Home Ehalth Services, Inc
San Dimas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2167419 belongs to Abundant Grace Home Ehalth Services, Inc in San Dimas, CA.
Certificate of Waiver, effective June 7, 2025, expires June 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
- June 7, 2025
- Certificate expiration
- June 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 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
- 05D2167419
- Lab name
- Abundant Grace Home Ehalth Services, Inc
- Address
- 510 E Foothill Boulevard, Suite 102, San Dimas, CA 91773
- Phone
- (909) 394-1832
- Fax
- (909) 394-0356
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Abundant Grace Home Health Services, IncCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Abundant Grace Home Ehalth Services, Inc in San Dimas?
05D2167419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Abundant Grace Home Ehalth Services, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2167419 expire?
The CMS file lists June 6, 2027 as the certificate expiration date; the certificate took effect June 7, 2025.