CLIA lab
CLIA 05D2351095: Tri-State Community Healthcare Center
Lake Elsinore, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2351095 belongs to Tri-State Community Healthcare Center in Lake Elsinore, CA.
Certificate of Waiver, effective September 21, 2026, expires September 20, 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
- September 21, 2026
- Certificate expiration
- September 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2026
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D2351095
- Lab name
- Tri-State Community Healthcare Center
- Address
- 31739 Riverside Dr Suite A, Lake Elsinore, CA 92530
- Phone
- (951) 245-0505
- Fax
- (951) 245-0999
Annual test volume the lab reported
- Waived tests
- 9,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Elsinore, CA
- A Plus Urgent CareCertificate of Waiver, Physician office05D2168924
- Accelerated Urgent CareCertificate of Waiver, Other05D2270078
- American Spine PCCertificate of Waiver, Physician office05D2143794
- Best Quality Care Hospice, IncCertificate of Waiver, Hospice05D2230657
- Cvs/Pharmacy #09847Certificate of Waiver, Pharmacy05D2272613
- DR Arce Family Medical Clinic IncCertificate of Waiver, Physician office05D1094975
- DR Jimmy Phan Medical CorporationCertificate of Waiver, Physician office05D2271479
- Farid Saadat M.D.Certificate of Waiver, Physician office05D0966075
- Healthcare Partners AffiliatesCertificate of Waiver, Physician office05D0974943
- Healthcare in Action - South RiversideCertificate of Waiver, Other05D2347920
Related
Questions
What is the CLIA number for Tri-State Community Healthcare Center in Lake Elsinore?
05D2351095, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2351095 expire?
The CMS file lists September 20, 2028 as the certificate expiration date; the certificate took effect September 21, 2026.