CLIA lab
CLIA 05D1088405: Montebello Artificial Kidney Center
Montebello, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1088405 belongs to Montebello Artificial Kidney Center in Montebello, CA.
Certificate of Waiver, effective August 25, 2026, expires August 24, 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
- August 25, 2026
- Certificate expiration
- August 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2008
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D1088405
- Lab name
- Montebello Artificial Kidney Center
- Address
- 3404 W Beverly Blvd, Montebello, CA 90640
- Phone
- (323) 728-7580
- Fax
- (323) 728-7590
Annual test volume the lab reported
- Waived tests
- 15,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Montebello Artificial Kidney CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Montebello, CA
- A Shawn Adhami MD A Professional CorpCertificate of Waiver, Physician office05D1033024
- Adventist Health White MemorialCertificate of Accreditation, Hospital05D0552242
- Adventist Health White MemorialCertificate of Waiver, Hospital05D0925580
- Adventist Health White Memorial Montebello CenterCertificate of Waiver, Other05D2313057
- Arbelos1 LLCCertificate of Accreditation, Independent05D2309204
- Art Vascular & Intervention Associates, IncCertificate of Waiver, Physician office05D2333140
- Atlantis Surgery Center MontebelloCertificate of Waiver, Ambulatory surgery center05D1097693
- Bertha A Gonzalez DO IncCertificate of Waiver, Physician office05D0955422
- Beverly Pediatric Medical Group IncCertificate of Waiver, Physician office05D0894885
- BeverlycareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2054780
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Questions
What is the CLIA number for Montebello Artificial Kidney Center in Montebello?
05D1088405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Montebello Artificial Kidney Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1088405 expire?
The CMS file lists August 24, 2028 as the certificate expiration date; the certificate took effect August 25, 2026.