CLIA lab

CLIA 05D2308204: Clearwater at Glendora

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

CLIA number 05D2308204 belongs to Clearwater at Glendora in Glendora, CA.

Certificate of Waiver, effective July 23, 2026, expires July 22, 2028.

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
July 23, 2026
Certificate expiration
July 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 2024
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2308204
Lab name
Clearwater at Glendora
Address
333 W Dawson Avenue, Glendora, CA 91740
Phone
(626) 885-0140
Fax
(626) 779-7058

Annual test volume the lab reported

Waived tests
750

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

Affiliated CLIA numbers

Other labs in Glendora, CA

Related

Questions

What is the CLIA number for Clearwater at Glendora in Glendora?

05D2308204, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clearwater at Glendora hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2308204 expire?

The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.

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