CLIA lab
CLIA 05D2168214: Amazing Grace Oasis II
Hesperia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2168214 belongs to Amazing Grace Oasis II in Hesperia, CA.
Certificate of Waiver, effective July 3, 2026, expires July 2, 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
- July 3, 2026
- Certificate expiration
- July 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 2019
- 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
- 05D2168214
- Lab name
- Amazing Grace Oasis II
- Address
- 8708 Bridgeport Ave, Hesperia, CA 92344
- Phone
- (760) 488-1128
- Fax
- (818) 925-3011
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hesperia, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973365
- Amazing Grace OasisCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2136671
- Aparna Sharma MD IncCertificate of Waiver, Physician office05D1034474
- Arvind Salwan MD PCCertificate of Waiver, Physician office05D1050454
- Cvs/Pharmacy #09644Certificate of Waiver, Pharmacy05D2271489
- Desert Dermatology, IncCertificate of Compliance, Physician office05D0953924
- Eric R Hansen DOCertificate of Waiver, Physician office05D1029880
- Friendly Medical CenterCertificate of Waiver, Physician office05D0909764
- Hannon ChiropracticCertificate of Waiver, Other practitioner05D2084948
- Hesperia Clinica Medica FamiliarCertificate of Waiver, Physician office05D2025982
Related
Questions
What is the CLIA number for Amazing Grace Oasis II in Hesperia?
05D2168214, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amazing Grace Oasis II hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2168214 expire?
The CMS file lists July 2, 2028 as the certificate expiration date; the certificate took effect July 3, 2026.