CLIA lab

CLIA 05D2178019: Prohealth Partners A Medical Group Inc

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

CLIA number 05D2178019 belongs to Prohealth Partners A Medical Group Inc in Upland, CA.

Certificate of Waiver, effective January 23, 2026, expires January 22, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 23, 2026
Certificate expiration
January 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 23, 2020
Facility type
Physician office
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
05D2178019
Lab name
Prohealth Partners A Medical Group Inc
Address
1042 San Bernardino Road, Upland, CA 91786
Phone
(909) 524-1940
Fax
(909) 524-1943

Annual test volume the lab reported

Waived tests
200

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

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Questions

What is the CLIA number for Prohealth Partners A Medical Group Inc in Upland?

05D2178019, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prohealth Partners A Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2178019 expire?

The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.

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