CLIA lab

CLIA 05D0940973: Santa Elena Medical Center Inc

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

CLIA number 05D0940973 belongs to Santa Elena Medical Center Inc in Pico Rivera, CA.

Certificate of Waiver, effective August 27, 2026, expires August 26, 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
August 27, 2026
Certificate expiration
August 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 19, 1998
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
05D0940973
Lab name
Santa Elena Medical Center Inc
Address
5036 Passons Blvd Ste 2, Pico Rivera, CA 90660
Phone
(562) 654-2800
Fax
(562) 654-2802

Annual test volume the lab reported

Waived tests
600

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

Other labs in Pico Rivera, CA

Related

Questions

What is the CLIA number for Santa Elena Medical Center Inc in Pico Rivera?

05D0940973, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Santa Elena Medical Center Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0940973 expire?

The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.

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