CLIA lab

CLIA 05D2172755: Su Salud Medical Group, Inc

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

CLIA number 05D2172755 belongs to Su Salud Medical Group, Inc in Huntington Park, CA.

Certificate of Waiver, effective September 30, 2025, expires September 29, 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 30, 2025
Certificate expiration
September 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2019
Facility type
Community clinic
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
05D2172755
Lab name
Su Salud Medical Group, Inc
Address
7418 State Street, Huntington Park, CA 90255
Phone
(323) 835-6298
Fax
(323) 835-6081

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Su Salud Medical Group, Inc in Huntington Park?

05D2172755, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Su Salud Medical Group, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2172755 expire?

The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.

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