CLIA lab
CLIA 05D2196610: Heart of Angel Hospice & Palliative, Inc
San Gabriel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2196610 belongs to Heart of Angel Hospice & Palliative, Inc in San Gabriel, CA.
Certificate of Waiver, effective October 19, 2026, expires October 18, 2028.
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
- October 19, 2026
- Certificate expiration
- October 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 2020
- Facility type
- Hospice
- 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
- 05D2196610
- Lab name
- Heart of Angel Hospice & Palliative, Inc
- Address
- 405 S San Gabriel Blvd, Ste A, San Gabriel, CA 91776
- Phone
- (818) 806-0234
- Fax
- (818) 280-8111
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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- Francisco E Rodriguez, DOCertificate of Waiver, Physician office05D2027596
- Green Pine Home Health Care ServicesCertificate of Waiver, Home health agency05D1070324
Related
Questions
What is the CLIA number for Heart of Angel Hospice & Palliative, Inc in San Gabriel?
05D2196610, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Heart of Angel Hospice & Palliative, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2196610 expire?
The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.