CLIA lab

CLIA 05D2290169: Manna Adhc Cbas

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

CLIA number 05D2290169 belongs to Manna Adhc Cbas in Montclair, CA.

Certificate of Waiver, effective September 21, 2025, expires September 20, 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
September 21, 2025
Certificate expiration
September 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 21, 2023
Facility type
Ancillary test site
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
05D2290169
Lab name
Manna Adhc Cbas
Address
10144 Central Ave, Montclair, CA 91763
Phone
(909) 447-0426
Fax
(909) 447-0279

Annual test volume the lab reported

Waived tests
5,200

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

Other labs in Montclair, CA

Related

Questions

What is the CLIA number for Manna Adhc Cbas in Montclair?

05D2290169, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Manna Adhc Cbas hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2290169 expire?

The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.

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