CLIA lab
CLIA 05D1028080: Clinica Medica El Buen Samaritano
Montclair, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1028080 belongs to Clinica Medica El Buen Samaritano in Montclair, CA.
Certificate of Waiver, effective July 20, 2026, expires July 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
- July 20, 2026
- Certificate expiration
- July 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 20, 2004
- 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
- 05D1028080
- Lab name
- Clinica Medica El Buen Samaritano
- Address
- 4451 Holt Blvd, Montclair, CA 91763
- Phone
- (909) 624-3033
- Fax
- (909) 624-8440
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Montclair, CA
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- Aces Home Healthcare Services IncCertificate of Waiver, Home health agency05D1060612
- Advanced Wellness Home Care IncCertificate of Waiver, Home health agency05D2165896
- Affective Hospice Care, IncCertificate of Waiver, Hospice05D2107459
- Angels on Earth HospiceCertificate of Waiver, Hospice05D2036471
- Benchmark Young Adult SchoolCertificate of Waiver, Ancillary test site05D2316028
- Benchmark at MonclairCertificate of Waiver, Ancillary test site05D2291219
- Best Serene Home Health IncCertificate of Waiver, Home health agency05D2304908
- Brightlane Healthcare IncCertificate of Waiver, Home health agency05D2230260
- California Professional CareCertificate of Waiver, Home health agency05D2216956
Related
Questions
What is the CLIA number for Clinica Medica El Buen Samaritano in Montclair?
05D1028080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinica Medica El Buen Samaritano hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1028080 expire?
The CMS file lists July 19, 2028 as the certificate expiration date; the certificate took effect July 20, 2026.