CLIA lab
CLIA 05D0925580: Adventist Health White Memorial
Montebello, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0925580 belongs to Adventist Health White Memorial in Montebello, CA.
Certificate of Waiver, effective July 14, 2025, expires July 13, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 14, 2025
- Certificate expiration
- July 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 3, 1997
- Facility type
- Hospital
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0925580
- Lab name
- Adventist Health White Memorial
- Additional name
- Montebello
- Address
- 309 West Beverly Blvd, Montebello, CA 90640
- Phone
- (323) 268-5000
- Fax
- (323) 881-8712
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Adventist Health White Memorial MontebelloCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Montebello, CA
- A Shawn Adhami MD A Professional CorpCertificate of Waiver, Physician office05D1033024
- Adventist Health White MemorialCertificate of Accreditation, Hospital05D0552242
- Adventist Health White Memorial Montebello CenterCertificate of Waiver, Other05D2313057
- Arbelos1 LLCCertificate of Accreditation, Independent05D2309204
- Art Vascular & Intervention Associates, IncCertificate of Waiver, Physician office05D2333140
- Atlantis Surgery Center MontebelloCertificate of Waiver, Ambulatory surgery center05D1097693
- Bertha A Gonzalez DO IncCertificate of Waiver, Physician office05D0955422
- Beverly Pediatric Medical Group IncCertificate of Waiver, Physician office05D0894885
- BeverlycareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2054780
- Bluff RD DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2080355
Related
- CLIA labs in Montebello, CA57 active
- CLIA labs in California
- Adventist Health White Memorial Montebello: CMS ratings
- Nursing Homes in Montebello, CA
- Home Health Agencies in Montebello, CA
- Hospices in Montebello, CA
- Dialysis Centers in Montebello, CA
- Hospitals in Montebello, CA
- NPI records in Montebello, CA
- CLIA lookup
Questions
What is the CLIA number for Adventist Health White Memorial in Montebello?
05D0925580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health White Memorial hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0925580 expire?
The CMS file lists July 13, 2027 as the certificate expiration date; the certificate took effect July 14, 2025.