CLIA lab
CLIA 05D1097693: Atlantis Surgery Center Montebello
Montebello, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1097693 belongs to Atlantis Surgery Center Montebello in Montebello, CA.
Certificate of Waiver, effective September 28, 2025, expires September 27, 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
- September 28, 2025
- Certificate expiration
- September 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 1, 2009
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- 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
- 05D1097693
- Lab name
- Atlantis Surgery Center Montebello
- Address
- 229 E Beverly Blvd, Montebello, CA 90640
- Phone
- (323) 647-3350
- Fax
- (714) 459-8181
Annual test volume the lab reported
- Waived tests
- 320
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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
- 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
- Bluff RD DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2080355
Related
Questions
What is the CLIA number for Atlantis Surgery Center Montebello in Montebello?
05D1097693, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Atlantis Surgery Center Montebello hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1097693 expire?
The CMS file lists September 27, 2027 as the certificate expiration date; the certificate took effect September 28, 2025.