CLIA lab

CLIA 05D2225463: Carbon Health Medical Group

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

CLIA number 05D2225463 belongs to Carbon Health Medical Group in Rancho Cucamonga, CA.

Certificate of Waiver, effective May 20, 2025, expires May 19, 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
May 20, 2025
Certificate expiration
May 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 20, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2225463
Lab name
Carbon Health Medical Group
Additional name
Of California, PC
Address
7831 Monticello Ave, Ste 1102, Rancho Cucamonga, CA 91739
Phone
(415) 851-6102

Annual test volume the lab reported

Waived tests
18,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Rancho Cucamonga, CA

Related

Questions

What is the CLIA number for Carbon Health Medical Group in Rancho Cucamonga?

05D2225463, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Carbon Health Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2225463 expire?

The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.

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