CLIA lab
CLIA 05D0642897: Gastroenterology Diagnostic Center
Monterey Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0642897 belongs to Gastroenterology Diagnostic Center in Monterey Park, CA.
Certificate of Waiver, effective February 20, 2025, expires February 19, 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
- February 20, 2025
- Certificate expiration
- February 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Ambulatory surgery center
- 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
- 05D0642897
- Lab name
- Gastroenterology Diagnostic Center
- Additional name
- Medical Center
- Address
- 880 S Atlantic Blvd, Ste G10, Monterey Park, CA 91754
- Phone
- (626) 872-6261
- Fax
- (626) 872-1948
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- Carlos R Meza, MD IncCertificate of Waiver, Physician office05D0943879
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- Connie J. Li, MD ApcCertificate of Waiver, Physician office05D2144075
Related
Questions
What is the CLIA number for Gastroenterology Diagnostic Center in Monterey Park?
05D0642897, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gastroenterology Diagnostic Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0642897 expire?
The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.