CLIA lab
CLIA 05D1046412: Pacific Nephrology Medical Group, Inc
Monterey Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1046412 belongs to Pacific Nephrology Medical Group, Inc in Monterey Park, CA.
Certificate of Waiver, effective October 7, 2025, expires October 6, 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
- October 7, 2025
- Certificate expiration
- October 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 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
- 05D1046412
- Lab name
- Pacific Nephrology Medical Group, Inc
- Address
- 120 E Emerson Ave, Monterey Park, CA 91755
- Phone
- (626) 280-0676
- Fax
- (626) 280-2694
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Pacific Nephrology Medical Group, Inc in Monterey Park?
05D1046412, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Nephrology Medical Group, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1046412 expire?
The CMS file lists October 6, 2027 as the certificate expiration date; the certificate took effect October 7, 2025.