CLIA lab
CLIA 05D0700583: Children's Primary Care Medical Group Inc
Poway, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0700583 belongs to Children's Primary Care Medical Group Inc in Poway, 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
- January 7, 1993
- 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
- 05D0700583
- Lab name
- Children's Primary Care Medical Group Inc
- Address
- 15725 Pomerado Road Suite 203, Poway, CA 92064
- Phone
- (858) 502-1101
Annual test volume the lab reported
- Waived tests
- 2,228
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Elizabeth Salada, MDCertificate of Waiver, Physician office05D1093341
- Ficare MedCertificate of Waiver, Physician office05D2029221
- Focus on Health Inc PowayCertificate for Provider-Performed Microscopy Procedures, Physician office05D2340294
- Kathy Clewell MDCertificate of Waiver, Community clinic05D0950023
- Mission Prep Healthcare LLCCertificate of Waiver, Comprehensive outpatient rehab facility05D2307768
- Obstetrics & Gynecology Li Fan MD IncCertificate of Waiver, Physician office05D2120746
- Pcnd Neuroscience Research InstituteCertificate of Waiver, Physician office05D2099527
Related
Questions
What is the CLIA number for Children's Primary Care Medical Group Inc in Poway?
05D0700583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Children's Primary Care Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0700583 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.