CLIA lab
CLIA 05D0934273: ST Augustine Medical Center Inc
Monterey Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0934273 belongs to ST Augustine Medical Center Inc in Monterey Park, CA.
Certificate of Waiver, effective October 2, 2025, expires October 1, 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
- October 2, 2025
- Certificate expiration
- October 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 1997
- Facility type
- Physician office
- Ownership (control type)
- Unknown
- 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
- 05D0934273
- Lab name
- ST Augustine Medical Center Inc
- Address
- 210 N Garfield Ave, Ste 212, Monterey Park, CA 91754
- Phone
- (626) 307-7311
- Fax
- (626) 307-7477
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Carlos R Meza, MD IncCertificate of Waiver, Physician office05D0943879
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2098045
- Complete Care Community Health Center-MontereyCertificate of Waiver, Federally qualified health center05D2191844
- Connie J. Li, MD ApcCertificate of Waiver, Physician office05D2144075
Related
Questions
What is the CLIA number for ST Augustine Medical Center Inc in Monterey Park?
05D0934273, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Augustine Medical Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0934273 expire?
The CMS file lists October 1, 2027 as the certificate expiration date; the certificate took effect October 2, 2025.