CLIA lab
CLIA 05D2332633: Casa Serena Congregate Living Inc
Yucaipa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2332633 belongs to Casa Serena Congregate Living Inc in Yucaipa, CA.
Certificate of Waiver, effective October 22, 2025, expires October 21, 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
- October 22, 2025
- Certificate expiration
- October 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 2025
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D2332633
- Lab name
- Casa Serena Congregate Living Inc
- Address
- 31297 Tennessee Lane, Yucaipa, CA 92399
- Phone
- (909) 582-1270
- Fax
- (909) 752-5297
Annual test volume the lab reported
- Waived tests
- 7,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Blandford HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1070789
- Canterbury HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1070790
- Crafton Hills College Health and Wellness CenterCertificate of Waiver, School or student health service05D2297981
- Cvs/Pharmacy #09649Certificate of Waiver, Pharmacy05D2268817
- Family Medical Urgent CareCertificate of Waiver, Physician office05D0899358
- Hillside HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2001293
- Jonbec Care Inc Yucaipa Adult Day CTRCertificate of Waiver, Other05D0989661
- Maren Medical GroupCertificate of Waiver, Physician office05D2325323
- Northampton HouseCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1070792
Related
Questions
What is the CLIA number for Casa Serena Congregate Living Inc in Yucaipa?
05D2332633, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Casa Serena Congregate Living Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2332633 expire?
The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.