CLIA lab
CLIA 05D0855576: La Jolla Village Family Medical Group
La Jolla, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0855576 belongs to La Jolla Village Family Medical Group in La Jolla, CA.
Certificate of Waiver, effective January 3, 2026, expires January 2, 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
- January 3, 2026
- Certificate expiration
- January 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 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
- 05D0855576
- Lab name
- La Jolla Village Family Medical Group
- Address
- 8950 Villa La Jolla Dr, Ste C129, La Jolla, CA 92037
- Phone
- (858) 450-5900
- Fax
- (760) 531-2366
Annual test volume the lab reported
- Waived tests
- 4,420
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Balboa Nephrology Medical GroupCertificate of Waiver, Physician office05D1061616
- California Cancer AssociatesCertificate of Accreditation, Physician office05D0675449
- Cardiac RehabilitationCertificate of Waiver, Ancillary test site05D2050856
- Caris Mpi, Inc DBA Caris Life SciencesCertificate of Compliance, Independent05D2191611
- Children's Primary CareCertificate of Waiver, Physician office05D0681189
- Childrens Primary Care Medical Group IncCertificate of Waiver, Physician office05D0926464
- Coastal Medical & Cosmetic DermatologyCertificate of Compliance, Physician office05D1094617
- Cove at La Jolla, theCertificate of Waiver, Skilled nursing or nursing facility05D0567454
Related
Questions
What is the CLIA number for La Jolla Village Family Medical Group in La Jolla?
05D0855576, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does La Jolla Village Family Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0855576 expire?
The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.