CLIA lab

CLIA 05D2192571: Dignity Adult Day Health Care Center

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

CLIA number 05D2192571 belongs to Dignity Adult Day Health Care Center in Montclair, CA.

Certificate of Waiver, effective September 11, 2026, expires September 10, 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
September 11, 2026
Certificate expiration
September 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2020
Facility type
Other
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
05D2192571
Lab name
Dignity Adult Day Health Care Center
Address
4110 Holt Blvd, Montclair, CA 91763
Phone
(909) 447-1313
Fax
(909) 447-1315

Annual test volume the lab reported

Waived tests
50

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 Dignity Adult Day Health Care Center in Montclair?

05D2192571, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dignity Adult Day Health Care Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2192571 expire?

The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.

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