CLIA lab
CLIA 05D2198098: Foothills Pediatric and Adolescent Clinic
San Dimas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2198098 belongs to Foothills Pediatric and Adolescent Clinic in San Dimas, CA.
Certificate of Waiver, effective October 29, 2024, expires October 28, 2026.
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 29, 2024
- Certificate expiration
- October 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 29, 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
- 05D2198098
- Lab name
- Foothills Pediatric and Adolescent Clinic
- Address
- 1330 W Covina Blvd Ste 106, San Dimas, CA 91773
- Phone
- (909) 599-6876
- Fax
- (909) 592-9787
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Dimas, CA
- Abundant Grace Home Ehalth Services, IncCertificate of Waiver, Home health agency05D2167419
- Adp San Dimas Medical DeptCertificate of Waiver, Physician office05D1029791
- Advocate Family Medicine ClinicCertificate of Waiver, Physician office05D2308185
- California Kidney SpecialistsCertificate of Waiver, Physician office05D1057202
- Careonsite-Scg San DimasCertificate of Waiver, Industrial05D2066671
- Casa Bonita Convalescent HospitalCertificate of Waiver, Skilled nursing or nursing facility05D0564519
- Citrus Pathology Medical GroupCertificate of Compliance, Independent05D2010143
- Covina Valley Urologic Medical Group, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0717406
- Dentists of San DimasCertificate of Waiver, Other practitioner05D2340230
- Emanate Health Medical CareCertificate for Provider-Performed Microscopy Procedures, Other05D0934444
Related
Questions
What is the CLIA number for Foothills Pediatric and Adolescent Clinic in San Dimas?
05D2198098, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Foothills Pediatric and Adolescent Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2198098 expire?
The CMS file lists October 28, 2026 as the certificate expiration date; the certificate took effect October 29, 2024.