CLIA lab
CLIA 05D2286741: Providence Chino Hills Facility
Chino Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2286741 belongs to Providence Chino Hills Facility in Chino Hills, CA.
Certificate of Waiver, effective August 2, 2025, expires August 1, 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
- August 2, 2025
- Certificate expiration
- August 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 2, 2023
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2286741
- Lab name
- Providence Chino Hills Facility
- Address
- 15855 Pomona Rincon Rd, Chino Hills, CA 91709
- Phone
- (909) 929-2511
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Chino Hills, CA
- Allied Home Health Care CorpCertificate of Waiver, Home health agency05D1045310
- Alpha Mens Health DBACertificate of Waiver, Other05D2283923
- Angels Hospice CorporationCertificate of Waiver, Hospice05D2042873
- Benny J Guzman MDCertificate of Waiver, Physician office05D1024071
- Brio Home Health Services, IncCertificate of Waiver, Home health agency05D1084005
- Carbon Health Medical GroupCertificate of Waiver, Physician office05D2288708
- Chino Hills Pediatrics IncCertificate of Waiver, Physician office05D1061964
- Chino Hills Primary Care CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic05D0977154
- Chino Hills Primary Care CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic05D1077336
- Chino Pediatric Medical GroupCertificate of Waiver, Physician office05D1012341
Related
Questions
What is the CLIA number for Providence Chino Hills Facility in Chino Hills?
05D2286741, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Chino Hills Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2286741 expire?
The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.