CLIA lab
CLIA 05D2273167: Tri-State Community Healthcare Center
Pomona, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2273167 belongs to Tri-State Community Healthcare Center in Pomona, CA.
Certificate of Waiver, effective December 7, 2024, expires December 6, 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
- December 7, 2024
- Certificate expiration
- December 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 7, 2022
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2273167
- Lab name
- Tri-State Community Healthcare Center
- Address
- 1532 San Bernardino Ave Suite B7, Pomona, CA 91767
- Phone
- (909) 301-4041
- Fax
- (909) 301-4042
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 Pomona, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0686988
- All American Community Health Center IncCertificate of Waiver, Community clinic05D2274135
- Allegiant Healthcare, IncCertificate of Waiver, Home health agency05D2172969
- Altamed - Pace PomonaCertificate of Waiver, Federally qualified health center05D2318142
- American National Red CrossCertificate of Accreditation, Blood bank05D0642412
- American National Red Cross - Pomona, theCertificate of Waiver, Blood bank05D2239874
- Antonio M Garcia, MDCertificate of Waiver, Physician office05D0887027
- Biolife Plasma Services LPCertificate of Compliance, Other05D2232344
- CMG Clinical Laboratory andCertificate of Waiver, Physician office05D1091084
- CP Inland Empire S-Ca, LLC DBA Providence at HomeCertificate of Waiver, Home health agency05D0955932
Related
Questions
What is the CLIA number for Tri-State Community Healthcare Center in Pomona?
05D2273167, 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 05D2273167 expire?
The CMS file lists December 6, 2026 as the certificate expiration date; the certificate took effect December 7, 2024.