CLIA lab

CLIA 05D2274852: My Pediatric Home

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

CLIA number 05D2274852 belongs to My Pediatric Home in Redlands, CA.

Certificate of Waiver, effective January 11, 2025, expires January 10, 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
January 11, 2025
Certificate expiration
January 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 11, 2023
Facility type
Physician office
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
05D2274852
Lab name
My Pediatric Home
Address
414 Tennessee St Ste K1, Redlands, CA 92373
Phone
(909) 531-4427
Fax
(909) 288-4731

Annual test volume the lab reported

Waived tests
800

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

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Related

Questions

What is the CLIA number for My Pediatric Home in Redlands?

05D2274852, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does My Pediatric Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2274852 expire?

The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.

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