CLIA lab

CLIA 05D0941038: Vista Cove Care Center at San Gabriel, Inc

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

CLIA number 05D0941038 belongs to Vista Cove Care Center at San Gabriel, Inc in San Gabriel, CA.

Certificate of Waiver, effective February 19, 2026, expires February 18, 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
February 19, 2026
Certificate expiration
February 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 19, 1998
Facility type
Skilled nursing or nursing facility
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
05D0941038
Lab name
Vista Cove Care Center at San Gabriel, Inc
Additional name
DBA Vista Cove Care Center at San Gabriel
Address
909 W Santa Anita St, San Gabriel, CA 91776
Phone
(626) 289-5365
Fax
(626) 289-9503

Annual test volume the lab reported

Waived tests
450

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

Other labs in San Gabriel, CA

Related

Questions

What is the CLIA number for Vista Cove Care Center at San Gabriel, Inc in San Gabriel?

05D0941038, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vista Cove Care Center at San Gabriel, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0941038 expire?

The CMS file lists February 18, 2028 as the certificate expiration date; the certificate took effect February 19, 2026.

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