CLIA lab

CLIA 05D2270203: San Manuel Band of Mission Indians

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

CLIA number 05D2270203 belongs to San Manuel Band of Mission Indians in Highland, CA.

Certificate of Waiver, effective October 11, 2026, expires October 10, 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
October 11, 2026
Certificate expiration
October 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 11, 2022
Facility type
Independent
Ownership (control type)
Government, other
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
05D2270203
Lab name
San Manuel Band of Mission Indians
Address
777 San Manuel Blvd, Highland, CA 92346
Phone
(909) 838-0100

Annual test volume the lab reported

Waived tests
4,500

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

Other labs in Highland, CA

Related

Questions

What is the CLIA number for San Manuel Band of Mission Indians in Highland?

05D2270203, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Manuel Band of Mission Indians hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2270203 expire?

The CMS file lists October 10, 2028 as the certificate expiration date; the certificate took effect October 11, 2026.

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