CLIA lab

CLIA 05D1048122: San Gabriel Health Clinic

Rosemead, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1048122 belongs to San Gabriel Health Clinic in Rosemead, CA.

Certificate of Waiver, effective May 17, 2026, expires May 16, 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
May 17, 2026
Certificate expiration
May 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
November 21, 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
05D1048122
Lab name
San Gabriel Health Clinic
Address
2630 San Gabriel Blvd, Suite 105, Rosemead, CA 91770
Phone
(626) 288-2007
Fax
(626) 288-2116

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Rosemead, CA

Related

Questions

What is the CLIA number for San Gabriel Health Clinic in Rosemead?

05D1048122, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does San Gabriel Health Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1048122 expire?

The CMS file lists May 16, 2028 as the certificate expiration date; the certificate took effect May 17, 2026.

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