CLIA lab
CLIA 05D1033049: San Gabriel Ambulatory
Arcadia, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1033049 belongs to San Gabriel Ambulatory in Arcadia, CA.
Certificate of Waiver, effective November 3, 2024, expires November 2, 2026.
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
- November 3, 2024
- Certificate expiration
- November 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 3, 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
- 05D1033049
- Lab name
- San Gabriel Ambulatory
- Additional name
- Surgery Center, LP
- Address
- 288 N Santa Anita Ave Ste 404, Arcadia, CA 91006
- Phone
- (626) 300-5300
- Fax
- (626) 300-5355
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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- Arcadia Ca Endoscopy ASC LP, theCertificate of Waiver, Ambulatory surgery center05D1010355
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- Arcadia Live Oak Surgery Center IncCertificate of Waiver, Ambulatory surgery center05D2315145
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Related
Questions
What is the CLIA number for San Gabriel Ambulatory in Arcadia?
05D1033049, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Gabriel Ambulatory hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1033049 expire?
The CMS file lists November 2, 2026 as the certificate expiration date; the certificate took effect November 3, 2024.