CLIA lab
CLIA 05D2051045: Ivy Creek Healthcare & Wellness Centre
San Gabriel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2051045 belongs to Ivy Creek Healthcare & Wellness Centre in San Gabriel, CA.
Certificate of Waiver, effective December 11, 2024, expires December 10, 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
- December 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2012
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D2051045
- Lab name
- Ivy Creek Healthcare & Wellness Centre
- Address
- 115 Bridge St., San Gabriel, CA 91775
- Phone
- (626) 289-4439
- Fax
- (626) 289-0056
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.
Care facility at this address
- Ivy Creek Healthcare & Wellness CentreCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Ivy Creek Healthcare & Wellness Centre in San Gabriel?
05D2051045, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Creek Healthcare & Wellness Centre hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2051045 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.