CLIA lab
CLIA 05D2313057: Adventist Health White Memorial Montebello Center
Montebello, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2313057 belongs to Adventist Health White Memorial Montebello Center in Montebello, CA.
Certificate of Waiver, effective October 23, 2024, expiration date October 22, 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
- October 23, 2024
- Certificate expiration
- October 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2024
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- 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
- 05D2313057
- Lab name
- Adventist Health White Memorial Montebello Center
- Additional name
- Advanced Wound Healing & Hyperbaric Medicine
- Address
- 413 N Poplar Ave, Montebello, CA 90640
- Phone
- (323) 859-4430
- Fax
- (323) 837-5167
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.
Other labs in Montebello, CA
- A Shawn Adhami MD A Professional CorpCertificate of Waiver, Physician office05D1033024
- Adventist Health White MemorialCertificate of Accreditation, Hospital05D0552242
- Adventist Health White MemorialCertificate of Waiver, Hospital05D0925580
- Arbelos1 LLCCertificate of Accreditation, Independent05D2309204
- Art Vascular & Intervention Associates, IncCertificate of Waiver, Physician office05D2333140
- Atlantis Surgery Center MontebelloCertificate of Waiver, Ambulatory surgery center05D1097693
- Bertha A Gonzalez DO IncCertificate of Waiver, Physician office05D0955422
- Beverly Pediatric Medical Group IncCertificate of Waiver, Physician office05D0894885
- BeverlycareCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2054780
- Bluff RD DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2080355
Related
Questions
What is the CLIA number for Adventist Health White Memorial Montebello Center in Montebello?
05D2313057, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health White Memorial Montebello Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2313057 expire?
The CMS file lists October 22, 2026 as the certificate expiration date; the certificate took effect October 23, 2024.