CLIA lab
CLIA 05D2271454: Tri-State Community Healthcare Center
Adelanto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2271454 belongs to Tri-State Community Healthcare Center in Adelanto, CA.
Certificate of Waiver, effective November 2, 2024, expires November 1, 2026.
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
- November 2, 2024
- Certificate expiration
- November 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 2022
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D2271454
- Lab name
- Tri-State Community Healthcare Center
- Address
- 11499 Bartlett Ave, Adelanto, CA 92301
- Phone
- (760) 530-9944
Annual test volume the lab reported
- Waived tests
- 9,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Adelanto, CA
- Adelanto Medical ClinicCertificate of Waiver, Physician office05D0943470
- C&D IncCertificate of Waiver, Skilled nursing or nursing facility05D2119286
- Desert View AnnexCertificate of Waiver, Prison05D2203002
- Tri-State Community Healthcare CenterCertificate of Waiver, Federally qualified health center05D2142540
- Tri-State Community Healthcare CenterCertificate of Waiver, Federally qualified health center05D2195655
Related
Questions
What is the CLIA number for Tri-State Community Healthcare Center in Adelanto?
05D2271454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2271454 expire?
The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.