CLIA lab
CLIA 05D0866339: Pacifica Sur Medical Group Inc
Baldwin Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0866339 belongs to Pacifica Sur Medical Group Inc in Baldwin Park, CA.
Certificate of Waiver, effective April 1, 2026, expires March 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
- April 1, 2026
- Certificate expiration
- March 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 1993
- 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
- 05D0866339
- Lab name
- Pacifica Sur Medical Group Inc
- Address
- 4318 Maine Ave Unit A, Baldwin Park, CA 91706
- Phone
- (818) 962-5141
- Fax
- (818) 579-9002
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- 1 Community Wellness & Health IncCertificate of Waiver, Physician office05D2043487
- 986 Pharmacy #8015Certificate of Waiver, Pharmacy05D2295862
- A Plus Adult Day Health Care, IncCertificate of Waiver, Other05D0998296
- Baldwin Park DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2134892
- Baldwin Park Medical ClinicCertificate of Waiver, Physician office05D2076924
- Baldwin Park-El Monte Medical GroupCertificate of Waiver, Physician office05D0866338
- Central City Commnity Health Center, IncCertificate of Waiver, Federally qualified health center05D2343066
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2020372
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2081416
- Coast Care Convalescent CenterCertificate of Waiver, Skilled nursing or nursing facility05D0547935
Related
Questions
What is the CLIA number for Pacifica Sur Medical Group Inc in Baldwin Park?
05D0866339, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacifica Sur Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0866339 expire?
The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.