CLIA lab

CLIA 05D1022612: Glendora Ca Endoscopy ASC LP

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

CLIA number 05D1022612 belongs to Glendora Ca Endoscopy ASC LP in Glendora, CA.

Certificate of Waiver, effective February 20, 2026, expires February 19, 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 20, 2026
Certificate expiration
February 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 20, 2004
Facility type
Ambulatory surgery center
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
05D1022612
Lab name
Glendora Ca Endoscopy ASC LP
Address
1794 S Barranca Ave, Glendora, CA 91740
Phone
(626) 858-4600
Fax
(626) 858-4608

Annual test volume the lab reported

Waived tests
1,247

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

Other labs in Glendora, CA

Related

Questions

What is the CLIA number for Glendora Ca Endoscopy ASC LP in Glendora?

05D1022612, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Glendora Ca Endoscopy ASC LP hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1022612 expire?

The CMS file lists February 19, 2028 as the certificate expiration date; the certificate took effect February 20, 2026.

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