CLIA lab
CLIA 05D1045885: Clinica Medica Virgen De Guadalupe
Huntington Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1045885 belongs to Clinica Medica Virgen De Guadalupe in Huntington Park, CA.
Certificate of Waiver, effective September 26, 2025, expires September 25, 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
- September 26, 2025
- Certificate expiration
- September 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 2005
- 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
- 05D1045885
- Lab name
- Clinica Medica Virgen De Guadalupe
- Address
- 6831 Seville Ave, Huntington Park, CA 90255
- Phone
- (323) 581-8234
- Fax
- (323) 581-0393
Annual test volume the lab reported
- Waived tests
- 99
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Altamed Medical GroupCertificate of Waiver, Federally qualified health center05D2102128
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- Altamed Medical Group - Huntington Park, SevilleCertificate of Waiver, Federally qualified health center05D2324212
- Altamed Pace- Walnut ParkCertificate of Waiver, Federally qualified health center05D2283992
- Amg, A Professional Medical CorpCertificate of Waiver, Physician office05D0887287
- Centro De Cuidado Renal, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2259838
- Community Hospital of Huntington ParkCertificate of Accreditation, Hospital05D0949242
- Community Prenatal & Medical ClinicCertificate of Waiver, Physician office05D0973996
- Community and Mission Hospital of Huntington ParkCertificate of Accreditation, Hospital05D0548135
Related
Questions
What is the CLIA number for Clinica Medica Virgen De Guadalupe in Huntington Park?
05D1045885, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinica Medica Virgen De Guadalupe hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1045885 expire?
The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.