CLIA lab
CLIA 05D0573405: Kellogg Beach Holdings, LLC
Escondido, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0573405 belongs to Kellogg Beach Holdings, LLC in Escondido, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0573405
- Lab name
- Kellogg Beach Holdings, LLC
- Additional name
- DBA Valley Vista Post Acute
- Address
- 1025 West 2nd Avenue, Escondido, CA 92025
- Phone
- (530) 209-0586
- Fax
- (858) 376-4202
Annual test volume the lab reported
- Waived tests
- 18,000
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 Kellogg Beach Holdings, LLC in Escondido?
05D0573405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kellogg Beach Holdings, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0573405 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.