CLIA lab
CLIA 05D2195655: Tri-State Community Healthcare Center
Adelanto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2195655 belongs to Tri-State Community Healthcare Center in Adelanto, CA.
Certificate of Waiver, effective October 11, 2026, expires October 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
- October 11, 2026
- Certificate expiration
- October 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 2020
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2195655
- Lab name
- Tri-State Community Healthcare Center
- Address
- 11328 Bartlett Ave Ste 3, Adelanto, CA 92301
- Phone
- (760) 261-1588
Annual test volume the lab reported
- Waived tests
- 9,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Adelanto, CA
- Adelanto Medical ClinicCertificate of Waiver, Physician office05D0943470
- C&D IncCertificate of Waiver, Skilled nursing or nursing facility05D2119286
- Desert View AnnexCertificate of Waiver, Prison05D2203002
- Tri-State Community Healthcare CenterCertificate of Waiver, Federally qualified health center05D2142540
- Tri-State Community Healthcare CenterCertificate of Waiver, Federally qualified health center05D2271454
Related
Questions
What is the CLIA number for Tri-State Community Healthcare Center in Adelanto?
05D2195655, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2195655 expire?
The CMS file lists October 10, 2028 as the certificate expiration date; the certificate took effect October 11, 2026.