CLIA lab
CLIA 05D0997660: Pacific Horizon Medical Center, Inc
San Gabriel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0997660 belongs to Pacific Horizon Medical Center, Inc in San Gabriel, CA.
Certificate of Waiver, effective March 22, 2026, expires March 21, 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
- March 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2002
- 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
- 05D0997660
- Lab name
- Pacific Horizon Medical Center, Inc
- Address
- 316 E Las Tunas Dr Ste 102, San Gabriel, CA 91776
- Phone
- (626) 300-8880
- Fax
- (626) 300-8811
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.
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- Ahmc San Gabriel Valley Medical CenterCertificate of Accreditation, Hospital05D0564683
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- 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
- Evergreen Adult Day Health Care CenterCertificate of Waiver, Other05D0994538
- 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
Related
Questions
What is the CLIA number for Pacific Horizon Medical Center, Inc in San Gabriel?
05D0997660, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Horizon Medical Center, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0997660 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.