CLIA lab
CLIA 05D2217206: Rancho San Antonio Retirement Housing Corp
Cupertino, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2217206 belongs to Rancho San Antonio Retirement Housing Corp in Cupertino, CA.
Certificate of Waiver, effective March 18, 2025, expires March 17, 2027.
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
- March 18, 2025
- Certificate expiration
- March 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2021
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 05D2217206
- Lab name
- Rancho San Antonio Retirement Housing Corp
- Additional name
- DBA the Forum at Rancho San Antonio
- Address
- 23500 Cristo Rey Drive, Cupertino, CA 95014
- Phone
- (650) 944-0100
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- De Anza College Health ServicesCertificate for Provider-Performed Microscopy Procedures, School or student health service05D0859425
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- Gloria F Lo, M D , IncCertificate of Waiver, Physician office05D0932439
- Safeway Pharmacy #3251Certificate of Waiver, Pharmacy05D2083433
Related
Questions
What is the CLIA number for Rancho San Antonio Retirement Housing Corp in Cupertino?
05D2217206, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rancho San Antonio Retirement Housing Corp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2217206 expire?
The CMS file lists March 17, 2027 as the certificate expiration date; the certificate took effect March 18, 2025.