CLIA lab
CLIA 05D1064816: Peritoneal Dialysis CTR of America-San Gabriel,pc
Monterey Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1064816 belongs to Peritoneal Dialysis CTR of America-San Gabriel,pc in Monterey Park, CA.
Certificate of Waiver, effective February 14, 2025, expires February 13, 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
- February 14, 2025
- Certificate expiration
- February 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 14, 2007
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1064816
- Lab name
- Peritoneal Dialysis CTR of America-San Gabriel,pc
- Address
- 809 S Atlantic Blvd Ste 103, Monterey Park, CA 91754
- Phone
- (323) 722-2053
- Fax
- (951) 246-9922
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Peritoneal Dialysis Center of America-San Gabriel PCCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Monterey Park, CA
- 1 World Medcine Urgent Care CorpCertificate of Waiver, Physician office05D2346628
- Alpha Medical Pharmacy IIICertificate of Waiver, Pharmacy05D2332651
- Amax PharmacyCertificate of Waiver, Pharmacy05D2335955
- Atlantic Surgical Center, LLCCertificate of Waiver, Ambulatory surgery center05D2015970
- Berwyn J Lin MDCertificate of Waiver, Physician office05D0563604
- CSC HealthCertificate of Waiver, Federally qualified health center05D2297207
- Carlos R Meza, MD IncCertificate of Waiver, Physician office05D0943879
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2098045
- Complete Care Community Health Center-MontereyCertificate of Waiver, Federally qualified health center05D2191844
- Connie J. Li, MD ApcCertificate of Waiver, Physician office05D2144075
Related
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- Peritoneal Dialysis Center of America-San Gabriel PC: CMS ratings
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- CLIA lookup
Questions
What is the CLIA number for Peritoneal Dialysis CTR of America-San Gabriel,pc in Monterey Park?
05D1064816, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peritoneal Dialysis CTR of America-San Gabriel,pc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1064816 expire?
The CMS file lists February 13, 2027 as the certificate expiration date; the certificate took effect February 14, 2025.