CLIA lab
CLIA 05D2241621: TL Health Care Foundation
San Gabriel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2241621 belongs to TL Health Care Foundation in San Gabriel, CA.
Certificate of Waiver, effective October 31, 2025, expires October 30, 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
- October 31, 2025
- Certificate expiration
- October 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 2021
- Facility type
- Physician office
- Ownership (control type)
- Government, federal
- 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
- 05D2241621
- Lab name
- TL Health Care Foundation
- Address
- 1418 S San Gabriel Blvd Suite B, San Gabriel, CA 91776
- Phone
- (626) 614-7469
- Fax
- (626) 782-7026
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ahmc San Gabriel Valley Medical CenterCertificate of Accreditation, Hospital05D0564683
- CSC Community Health CenterCertificate of Waiver, Federally qualified health center05D2135796
- Chun Yeh Wang MD PH DCertificate of Compliance, Physician office05D0995353
- Crestnik Home Health IncCertificate of Waiver, Home health agency05D2300166
- Emeral Family Medical ClinicCertificate of Waiver, Physician office05D0996318
- Evergreen Adult Day Health Care CenterCertificate of Waiver, Other05D0994538
- FWD Healthcare Inc DBA 986 Pharmarcy #8037Certificate of Waiver, Pharmacy05D2332179
- 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 TL Health Care Foundation in San Gabriel?
05D2241621, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does TL Health Care Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2241621 expire?
The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.