CLIA lab
CLIA 05D1027419: Plaza Surgical Center
Monterey Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1027419 belongs to Plaza Surgical Center in Monterey Park, CA.
Certificate of Waiver, effective June 29, 2026, expires June 28, 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
- June 29, 2026
- Certificate expiration
- June 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2004
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- 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
- 05D1027419
- Lab name
- Plaza Surgical Center
- Address
- 850 S Atlantic Blvd, Ste 201, Monterey Park, CA 91754
- Phone
- (626) 289-2894
- Fax
- (626) 289-2840
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alpha Medical Pharmacy IIICertificate of Waiver, Pharmacy05D2332651
- Amax PharmacyCertificate of Waiver, Pharmacy05D2335955
- Atlantic Surgical Center, LLCCertificate of Waiver, Ambulatory surgery center05D2015970
- Berwyn J Lin MDCertificate of Waiver, Physician office05D0563604
- CSC HealthCertificate of Waiver, Federally qualified health center05D2297207
- Carlos R Meza, MD IncCertificate of Waiver, Physician office05D0943879
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2098045
- Complete Care Community Health Center-MontereyCertificate of Waiver, Federally qualified health center05D2191844
- Connie J. Li, MD ApcCertificate of Waiver, Physician office05D2144075
Related
Questions
What is the CLIA number for Plaza Surgical Center in Monterey Park?
05D1027419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Plaza Surgical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1027419 expire?
The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.