CLIA lab
CLIA 05D2220525: Rose Garden Residential Care
Mentone, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2220525 belongs to Rose Garden Residential Care in Mentone, CA.
Certificate of Waiver, effective April 13, 2025, expires April 12, 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
- April 13, 2025
- Certificate expiration
- April 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 2021
- Facility type
- Assisted living facility
- 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
- 05D2220525
- Lab name
- Rose Garden Residential Care
- Address
- 1350 Wabash Ave, Mentone, CA 92359
- Phone
- (909) 794-1040
- Fax
- (909) 475-6390
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mentone, CA
Related
Questions
What is the CLIA number for Rose Garden Residential Care in Mentone?
05D2220525, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rose Garden Residential Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2220525 expire?
The CMS file lists April 12, 2027 as the certificate expiration date; the certificate took effect April 13, 2025.