CLIA lab

CLIA 05D0686636: Olympic Medical Group

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

CLIA number 05D0686636 belongs to Olympic Medical Group in Montebello, CA.

Certificate of Waiver, effective July 30, 2026, expires July 29, 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
July 30, 2026
Certificate expiration
July 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
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
05D0686636
Lab name
Olympic Medical Group
Address
2428 West Whittier Boulevard, Montebello, CA 90640
Phone
(323) 722-5550
Fax
(323) 722-0704

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 Montebello, CA

Related

Questions

What is the CLIA number for Olympic Medical Group in Montebello?

05D0686636, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Olympic Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0686636 expire?

The CMS file lists July 29, 2028 as the certificate expiration date; the certificate took effect July 30, 2026.

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