CLIA lab
CLIA 05D0699587: Villa Amistad
San Diego, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0699587 belongs to Villa Amistad in San Diego, 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 12, 1993
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0699587
- Lab name
- Villa Amistad
- Address
- 628 O'meara St, San Diego, CA 92114
- Phone
- (619) 266-2812
- Fax
- (619) 266-2460
Annual test volume the lab reported
- Waived tests
- 730
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Diego, CA
- 28th Street Detox, LLCCertificate of Waiver, Other05D2287029
- 9520 Gilman DR Coem ClinicCertificate of Waiver, Physician office05D2343006
- 9520 Gilman DR Primary Care ClinicCertificate of Waiver, Physician office05D2340116
- Aasha Health, IncCertificate of Waiver, Other05D2338021
- Ab and Jessie Polinsky Children's CTRCertificate of Waiver, Other05D1044736
- Abc Home Health Care LLCCertificate of Waiver, Home health agency05D2041358
- Abide Home Health Care IncCertificate of Waiver, Home health agency05D2325395
- Ability Home Health Services IncCertificate of Waiver, Home health agency05D2172957
- Abo Plasma - Otay MesaCertificate of Compliance, Other05D2299659
- Absolute Care Health Systems Inc.Certificate of Waiver, Home health agency05D2054421
Related
Questions
What is the CLIA number for Villa Amistad in San Diego?
05D0699587, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villa Amistad hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0699587 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.