CLIA lab

CLIA 05D2196690: Matrix Care Hospice

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

CLIA number 05D2196690 belongs to Matrix Care Hospice in Upland, CA.

Certificate of Waiver, effective October 19, 2024, expiration date October 18, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 19, 2024
Certificate expiration
October 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 19, 2020
Facility type
Hospice
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
05D2196690
Lab name
Matrix Care Hospice
Address
222 North Mountian Avenue Suite 204, Upland, CA 91786
Phone
(909) 256-3700
Fax
(909) 347-7701

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.

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Questions

What is the CLIA number for Matrix Care Hospice in Upland?

05D2196690, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Matrix Care Hospice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2196690 expire?

The CMS file lists October 18, 2026 as the certificate expiration date; the certificate took effect October 19, 2024.

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