CLIA lab

CLIA 05D0901845: San Martin De Porres Med Clnc of South Gate, Inc

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

CLIA number 05D0901845 belongs to San Martin De Porres Med Clnc of South Gate, Inc in South Gate, CA.

Certificate of Waiver, effective March 26, 2025, expires March 25, 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
March 26, 2025
Certificate expiration
March 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 7, 1995
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
05D0901845
Lab name
San Martin De Porres Med Clnc of South Gate, Inc
Address
10001 California Avenue, South Gate, CA 90280
Phone
(323) 564-4408
Fax
(323) 564-9641

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in South Gate, CA

Related

Questions

What is the CLIA number for San Martin De Porres Med Clnc of South Gate, Inc in South Gate?

05D0901845, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Martin De Porres Med Clnc of South Gate, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0901845 expire?

The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.

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