CLIA lab
CLIA 05D2283520: Providence Advantage
Apple Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2283520 belongs to Providence Advantage in Apple Valley, CA.
Certificate of Waiver, effective June 8, 2025, expires June 7, 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
- June 8, 2025
- Certificate expiration
- June 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 8, 2023
- Facility type
- Physician office
- Ownership (control type)
- 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
- 05D2283520
- Lab name
- Providence Advantage
- Address
- 19333 Bear Valley #101, Apple Valley, CA 92308
- Phone
- (760) 261-5023
- Fax
- (760) 947-5619
Annual test volume the lab reported
- Waived tests
- 7,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Apple Valley, CA
- A Womens Health and Maternity CenterCertificate of Waiver, Physician office05D0988920
- Advanced Dermatology, Thomas J Hoffmann, MDCertificate of Compliance, Physician office05D0688866
- Andres A. De La Llana, MD IncCertificate of Waiver, Physician office05D2135649
- Apple Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0726452
- Apple Valley Outpatient Surgical CenterCertificate of Waiver, Ambulatory surgery center05D2029279
- Apple Valley Recovery CenterCertificate of Waiver, Other05D2309633
- Birth and Womens Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office05D0952560
- Carelon HealthCertificate of Waiver, Physician office05D2011858
- Carewell Medical Group, IncCertificate of Waiver, Physician office05D2290175
- Choice Healthcare AssociatesCertificate of Waiver, Physician office05D2272125
Related
Questions
What is the CLIA number for Providence Advantage in Apple Valley?
05D2283520, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Advantage hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2283520 expire?
The CMS file lists June 7, 2027 as the certificate expiration date; the certificate took effect June 8, 2025.