CLIA lab
CLIA 05D1096454: Gage Medical Clinic,inc, DBA Clinica Virgen De
Los Angeles, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1096454 belongs to Gage Medical Clinic,inc, DBA Clinica Virgen De in Los Angeles, CA.
Certificate of Waiver, effective March 4, 2025, expires March 3, 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
- March 4, 2025
- Certificate expiration
- March 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2009
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 05D1096454
- Lab name
- Gage Medical Clinic,inc, DBA Clinica Virgen De
- Additional name
- Guadalupe
- Address
- 985 W Vernon Ave, Los Angeles, CA 90037
- Phone
- (323) 881-9620
- Fax
- (323) 234-0100
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.
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Related
Questions
What is the CLIA number for Gage Medical Clinic,inc, DBA Clinica Virgen De in Los Angeles?
05D1096454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gage Medical Clinic,inc, DBA Clinica Virgen De hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1096454 expire?
The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.