CLIA lab
CLIA 05D0994538: Evergreen Adult Day Health Care Center
San Gabriel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0994538 belongs to Evergreen Adult Day Health Care Center in San Gabriel, CA.
Certificate of Waiver, effective February 23, 2025, expires February 22, 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
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 24, 2001
- Facility type
- Other
- 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
- 05D0994538
- Lab name
- Evergreen Adult Day Health Care Center
- Address
- 606 West Las Tunas Drive, San Gabriel, CA 91776
- Phone
- (626) 282-7397
- Fax
- (626) 282-5829
Annual test volume the lab reported
- Waived tests
- 1,506
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Gabriel, CA
- Ag San Gabriel LLCCertificate of Waiver, Skilled nursing or nursing facility05D0718873
- Ahmc San Gabriel Valley Medical CenterCertificate of Accreditation, Hospital05D0564683
- CSC Community Health CenterCertificate of Waiver, Federally qualified health center05D2135796
- Chun Yeh Wang MD PH DCertificate of Compliance, Physician office05D0995353
- Crestnik Home Health IncCertificate of Waiver, Home health agency05D2300166
- Emeral Family Medical ClinicCertificate of Waiver, Physician office05D0996318
- FWD Healthcare Inc DBA 986 Pharmarcy #8037Certificate of Waiver, Pharmacy05D2332179
- Francisco E Rodriguez, DOCertificate of Waiver, Physician office05D2027596
- Green Pine Home Health Care ServicesCertificate of Waiver, Home health agency05D1070324
- Healthcare Partners AffiliatesCertificate of Waiver, Physician office05D0565388
Related
Questions
What is the CLIA number for Evergreen Adult Day Health Care Center in San Gabriel?
05D0994538, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Adult Day Health Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0994538 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.