CLIA lab

CLIA 05D0642921: San Gabriel Convalescent Center

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

CLIA number 05D0642921 belongs to San Gabriel Convalescent Center in Rosemead, CA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 26, 1993
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
05D0642921
Lab name
San Gabriel Convalescent Center
Address
8035 E Hill Drive, Rosemead, CA 91770
Phone
(818) 280-4820
Fax
(818) 280-0227

Annual test volume the lab reported

Waived tests
91,980

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

Care facility at this address

Other labs in Rosemead, CA

Related

Questions

What is the CLIA number for San Gabriel Convalescent Center in Rosemead?

05D0642921, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Gabriel Convalescent Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0642921 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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