CLIA lab

CLIA 05D2100865: South Gate Dialysis

South Gate, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2100865 belongs to South Gate Dialysis in South Gate, CA.

Certificate of Waiver, effective August 24, 2025, expires August 23, 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
August 24, 2025
Certificate expiration
August 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 24, 2015
Facility type
End stage renal disease dialysis 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
05D2100865
Lab name
South Gate Dialysis
Address
9848 Atlantic Ave, South Gate, CA 90280
Phone
(323) 569-1035
Fax
(323) 569-1790

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

Other labs in South Gate, CA

Related

Questions

What is the CLIA number for South Gate Dialysis in South Gate?

05D2100865, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Gate Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2100865 expire?

The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.

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