CLIA lab

CLIA 05D1012724: San Gabriel Valley Conv Hospital Inc/Penn Mar

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

CLIA number 05D1012724 belongs to San Gabriel Valley Conv Hospital Inc/Penn Mar in El Monte, CA.

Certificate of Waiver, effective May 19, 2025, expires May 18, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 19, 2025
Certificate expiration
May 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2003
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
05D1012724
Lab name
San Gabriel Valley Conv Hospital Inc/Penn Mar
Additional name
Therapeutic Center
Address
3938 Cogswell Road, El Monte, CA 91732
Phone
(626) 401-1557
Fax
(626) 401-9905

Annual test volume the lab reported

Waived tests
2,190

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

Other labs in El Monte, CA

Related

Questions

What is the CLIA number for San Gabriel Valley Conv Hospital Inc/Penn Mar in El Monte?

05D1012724, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Gabriel Valley Conv Hospital Inc/Penn Mar hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1012724 expire?

The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.