CLIA lab
CLIA 05D2164876: Gonzales Medical Corporation
Cerritos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2164876 belongs to Gonzales Medical Corporation in Cerritos, CA.
Certificate of Waiver, effective April 15, 2025, expires April 14, 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
- April 15, 2025
- Certificate expiration
- April 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 2019
- 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
- 05D2164876
- Lab name
- Gonzales Medical Corporation
- Additional name
- DBA Divine Grace Medical Clinic
- Address
- 17150 Norwalk Boulevard, Suite 104, Cerritos, CA 90703
- Phone
- (562) 474-1605
- Fax
- (562) 444-0456
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cerritos, CA
- Burnet Hospice Care IncCertificate of Waiver, Hospice05D2104341
- Carbon Health Medical Group of California PCCertificate of Waiver, Physician office05D2279224
- Cerritos DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0998714
- Cerritos Endoscopic Medical CenterCertificate of Waiver, Ambulatory surgery center05D2066295
- Cerritos Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D1095154
- College HospitalCertificate of Waiver, Hospital05D0883409
- Comprehensive Care Home Health Agency IncCertificate of Waiver, Home health agency05D2316234
- Core Healthcare GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2089437
- David Butchert, ODCertificate of Waiver, Physician office05D2287848
- Ejw IncCertificate of Waiver, Physician office05D2135216
Related
Questions
What is the CLIA number for Gonzales Medical Corporation in Cerritos?
05D2164876, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gonzales Medical Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2164876 expire?
The CMS file lists April 14, 2027 as the certificate expiration date; the certificate took effect April 15, 2025.