CLIA lab
CLIA 05D1090968: Southern California Medical Center, Inc
Pico Rivera, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1090968 belongs to Southern California Medical Center, Inc in Pico Rivera, CA.
Certificate of Waiver, effective October 22, 2024, expiration date October 21, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 22, 2024
- Certificate expiration
- October 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 2008
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1090968
- Lab name
- Southern California Medical Center, Inc
- Additional name
- Pico Rivera
- Address
- 8825 Whittier Blvd, Pico Rivera, CA 90660
- Phone
- (818) 421-0809
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pico Rivera, CA
- Access Med Cre Pico Urgnt Care/Fam MedCertificate of Waiver, Physician office05D0917493
- Al Amal Medical Clinic Inc.Certificate of Waiver, Physician office05D2285619
- Altamed Medical GroupCertificate of Waiver, Federally qualified health center05D1081110
- Altamed Medical GroupCertificate of Waiver, Federally qualified health center05D2330808
- Altamed Medical Group - Pico RiveraCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0722382
- Caremore Medical Group, IncCertificate of Waiver, Physician office05D2334014
- Caris Mpi, IncCertificate of Registration, Independent05D2336042
- Cnri-Los Angeles LLCCertificate of Waiver, Physician office05D1006217
- El Rancho Vista Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0552488
- Everside Health Pico RiveraCertificate of Waiver, Other05D2302439
Related
Questions
What is the CLIA number for Southern California Medical Center, Inc in Pico Rivera?
05D1090968, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern California Medical Center, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1090968 expire?
The CMS file lists October 21, 2026 as the certificate expiration date; the certificate took effect October 22, 2024.