CLIA lab
CLIA 05D2155285: Foothill Community Medical Corporation
La Puente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2155285 belongs to Foothill Community Medical Corporation in La Puente, CA.
Certificate of Waiver, effective September 26, 2024, expiration date September 25, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 26, 2024
- Certificate expiration
- September 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 2018
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- 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
- 05D2155285
- Lab name
- Foothill Community Medical Corporation
- Additional name
- San Rafael Community Medical Clinic
- Address
- 1400 N Hacienda Blvd, La Puente, CA 91744
- Phone
- (626) 931-2200
- Fax
- (626) 931-2203
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Addiction Research and Treatment, IncCertificate of Waiver, Other05D0956010
- Arcade Medical GroupCertificate of Waiver, Physician office05D0699424
- Bella Medical GroupCertificate of Waiver, Physician office05D2155239
- Central City CommunityCertificate of Waiver, Federally qualified health center05D2016226
- Clinica Medica Del Sol GroupCertificate of Waiver, Physician office05D0724674
- Clinica Medica Mi Salud, IncCertificate of Waiver, Health maintenance organization05D2315245
- DR Teng's ClinicCertificate of Waiver, Physician office05D0908000
- Fresenius Kidney Care San Jose HillsCertificate of Waiver, End stage renal disease dialysis facility05D2234755
- Julius C Kpaduwa MD Medical Corp IncCertificate of Waiver, Physician office05D1039840
Related
Questions
What is the CLIA number for Foothill Community Medical Corporation in La Puente?
05D2155285, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Foothill Community Medical Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2155285 expire?
The CMS file lists September 25, 2026 as the certificate expiration date; the certificate took effect September 26, 2024.