CLIA lab
CLIA 05D2040420: South Gate Community Clinic
South Gate, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2040420 belongs to South Gate Community Clinic in South Gate, CA.
Certificate of Waiver, effective April 30, 2026, expires April 29, 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
- April 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2012
- Facility type
- Community clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2040420
- Lab name
- South Gate Community Clinic
- Address
- 5720 Imperial Hwy Ste N-O, South Gate, CA 90280
- Phone
- (323) 776-1500
- Fax
- (855) 777-2289
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in South Gate, CA
- Altamed Medical and Dental GroupCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2127025
- American Medical CenterCertificate of Waiver, Physician office05D0716789
- Brookdale Medical CenterCertificate for Provider-Performed Microscopy Procedures, Physician office05D1060478
- Centro Medico Guadalupano ParaCertificate of Waiver, Physician office05D0988188
- Charity HealthCertificate of Waiver, Community clinic05D2320346
- Clinica Maria Medical CenterCertificate of Waiver, Other05D0918718
- Clinica San Marcos Medical Center IncCertificate of Waiver, Physician office05D2274256
- Compatior, IncCertificate of Waiver, Other05D2283275
- Complete Care Health Center-South GateCertificate of Waiver, Community clinic05D1066823
- David H Skinner DOCertificate of Waiver, Physician office05D0917269
Related
Questions
What is the CLIA number for South Gate Community Clinic in South Gate?
05D2040420, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Gate Community Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2040420 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.