CLIA lab
CLIA 05D2122594: San Gabriel Primary Care
Temple City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2122594 belongs to San Gabriel Primary Care in Temple City, CA.
Certificate of Waiver, effective November 30, 2024, expires November 29, 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 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 2016
- Facility type
- Physician office
- 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
- 05D2122594
- Lab name
- San Gabriel Primary Care
- Address
- 9676 E. La Tunas Dr Ste B, Temple City, CA 91780
- Phone
- (626) 287-6513
- Fax
- (626) 287-6497
Annual test volume the lab reported
- Waived tests
- 320
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Temple City, CA
- Acorn LaboratoryCertificate of Waiver, Independent05D2222617
- Allied Home Health CorpCertificate of Waiver, Home health agency05D2038774
- Arete' Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office05D2038614
- Azucena A Porral MDCertificate of Waiver, Physician office05D0714884
- Baldwin Gardens Nursing Center CorpCertificate of Waiver, Skilled nursing or nursing facility05D0903906
- Healthcare Partners AffiliatesCertificate for Provider-Performed Microscopy Procedures, Physician office05D0890169
- Kevin T Lee, MD, ApcCertificate of Waiver, Physician office05D1082287
- MHK Pharmacy Corporation DBA 986 PharmacyCertificate of Waiver, Pharmacy05D2116041
- Magic Touch Home Health Care IncCertificate of Waiver, Home health agency05D2347338
- Om Research LLCCertificate of Waiver, Other05D2326099
Related
Questions
What is the CLIA number for San Gabriel Primary Care in Temple City?
05D2122594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Gabriel Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2122594 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.