CLIA lab
CLIA 05D2015970: Atlantic Surgical Center, LLC
Monterey Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2015970 belongs to Atlantic Surgical Center, LLC in Monterey Park, CA.
Certificate of Waiver, effective November 9, 2024, expires November 8, 2026.
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
- November 9, 2024
- Certificate expiration
- November 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 9, 2010
- Facility type
- Ambulatory surgery center
- 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
- 05D2015970
- Lab name
- Atlantic Surgical Center, LLC
- Address
- 850 S Atlantic Blvd Ste 104, Monterey Park, CA 91754
- Phone
- (323) 521-5215
- Fax
- (213) 377-5738
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Connie J. Li, MD ApcCertificate of Waiver, Physician office05D2144075
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Related
Questions
What is the CLIA number for Atlantic Surgical Center, LLC in Monterey Park?
05D2015970, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Atlantic Surgical Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2015970 expire?
The CMS file lists November 8, 2026 as the certificate expiration date; the certificate took effect November 9, 2024.