CLIA lab

CLIA 05D0859184: Mount Miquel Covenant Village Health

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

CLIA number 05D0859184 belongs to Mount Miquel Covenant Village Health in Spring Valley, 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
February 1, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Religious affiliation
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
05D0859184
Lab name
Mount Miquel Covenant Village Health
Address
325 Kempton Street, Spring Valley, CA 91977
Phone
(619) 931-1151
Fax
(224) 233-1397

Annual test volume the lab reported

Waived tests
1,900

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

Care facility at this address

Other labs in Spring Valley, CA

Related

Questions

What is the CLIA number for Mount Miquel Covenant Village Health in Spring Valley?

05D0859184, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mount Miquel Covenant Village Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0859184 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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