CLIA lab

CLIA 05D2266456: ST Grace Hospice House

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

CLIA number 05D2266456 belongs to ST Grace Hospice House in Upland, CA.

Certificate of Waiver, effective August 10, 2026, expires August 9, 2028.

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
August 10, 2026
Certificate expiration
August 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 10, 2022
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
05D2266456
Lab name
ST Grace Hospice House
Address
1351 5th Ave, Upland, CA 91786
Phone
(909) 577-0110

Annual test volume the lab reported

Waived tests
730

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

Other labs in Upland, CA

Related

Questions

What is the CLIA number for ST Grace Hospice House in Upland?

05D2266456, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Grace Hospice House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2266456 expire?

The CMS file lists August 9, 2028 as the certificate expiration date; the certificate took effect August 10, 2026.

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