CLIA lab

CLIA 05D0568350: Valle Verde Pediatrics Inc

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

CLIA number 05D0568350 belongs to Valle Verde Pediatrics Inc in Poway, CA.

Certificate of Waiver, effective May 21, 2025, expires May 20, 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
May 21, 2025
Certificate expiration
May 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 1992
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
05D0568350
Lab name
Valle Verde Pediatrics Inc
Address
15525 Pomerado Rd Ste B-1, Poway, CA 92064
Phone
(714) 842-0444

Annual test volume the lab reported

Waived tests
800

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

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Related

Questions

What is the CLIA number for Valle Verde Pediatrics Inc in Poway?

05D0568350, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Valle Verde Pediatrics Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0568350 expire?

The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.

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