CLIA lab
CLIA 05D2065203: Nivera Enterprises, Inc DBA San Gabriel Hospice
Glendora, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2065203 belongs to Nivera Enterprises, Inc DBA San Gabriel Hospice in Glendora, CA.
Certificate of Waiver, effective September 5, 2025, expires September 4, 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 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2013
- Facility type
- Hospice
- 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
- 05D2065203
- Lab name
- Nivera Enterprises, Inc DBA San Gabriel Hospice
- Address
- 1152 E Route 66, San Gabriel Hospice, Glendora, CA 91740
- Phone
- (626) 335-2171
- Fax
- (626) 872-9579
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.
Care facility at this address
- San Gabriel HospiceCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Nivera Enterprises, Inc DBA San Gabriel Hospice in Glendora?
05D2065203, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nivera Enterprises, Inc DBA San Gabriel Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2065203 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.