CLIA lab

CLIA 05D0681679: Scpmg Montebello Medical Office

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

CLIA number 05D0681679 belongs to Scpmg Montebello Medical Office in Montebello, CA.

Certificate for Provider-Performed Microscopy Procedures, effective May 7, 2026, expires May 6, 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 for Provider-Performed Microscopy Procedures
Certificate effective
May 7, 2026
Certificate expiration
May 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Health maintenance organization
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
05D0681679
Lab name
Scpmg Montebello Medical Office
Address
1550 Town Center Drive, Montebello, CA 90640
Phone
(323) 724-7115
Fax
(818) 503-6532

Annual test volume the lab reported

Waived tests
200
Provider-performed microscopy tests
20
Total
220

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

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Related

Questions

What is the CLIA number for Scpmg Montebello Medical Office in Montebello?

05D0681679, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scpmg Montebello Medical Office hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0681679 expire?

The CMS file lists May 6, 2028 as the certificate expiration date; the certificate took effect May 7, 2026.

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