CLIA lab

CLIA 05D2340230: Dentists of San Dimas

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

CLIA number 05D2340230 belongs to Dentists of San Dimas in San Dimas, CA.

Certificate of Waiver, effective March 13, 2026, expires March 12, 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
March 13, 2026
Certificate expiration
March 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 13, 2026
Facility type
Other practitioner
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
05D2340230
Lab name
Dentists of San Dimas
Address
678 West Arrow Hwy, San Dimas, CA 91773
Phone
(909) 643-8007
Fax
(909) 654-3031

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 San Dimas, CA

Related

Questions

What is the CLIA number for Dentists of San Dimas in San Dimas?

05D2340230, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dentists of San Dimas hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2340230 expire?

The CMS file lists March 12, 2028 as the certificate expiration date; the certificate took effect March 13, 2026.

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