CLIA lab
CLIA 05D1036247: Santa Adelina Medical Clinic, Inc
Azusa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1036247 belongs to Santa Adelina Medical Clinic, Inc in Azusa, CA.
Certificate of Waiver, effective January 25, 2025, expires January 24, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 25, 2025
- Certificate expiration
- January 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2005
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1036247
- Lab name
- Santa Adelina Medical Clinic, Inc
- Address
- 680 E Alosta Ave Suite 209, Azusa, CA 91702
- Phone
- (626) 812-9733
- Fax
- (626) 812-9745
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Azusa, CA
- Alas Medical Clinic IncCertificate of Waiver, Physician office05D1019943
- Avrok Biosciences, IncCertificate of Accreditation, Independent05D2209785
- Azusa Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D1048796
- Azusa Pacific University Health CenterCertificate of Waiver, School or student health service05D0899079
- Azusa Surgery Center IncCertificate of Waiver, Ambulatory surgery center05D1065144
- Bina A Kamdar MDCertificate of Waiver, Physician office05D0962785
- Care Fort Home Health, IncCertificate of Waiver, Home health agency05D2349462
- El Proyecto Del Barrio Inc Azusa Health CenterCertificate of Waiver, Community clinic05D1045781
- Eurofins Donor & Product Testing LLCCertificate of Compliance, Independent05D0962012
- Eurofins Donor & Product Testing, LLC,Certificate of Accreditation, Independent05D1021019
Related
Questions
What is the CLIA number for Santa Adelina Medical Clinic, Inc in Azusa?
05D1036247, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Santa Adelina Medical Clinic, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1036247 expire?
The CMS file lists January 24, 2027 as the certificate expiration date; the certificate took effect January 25, 2025.