CLIA lab
CLIA 05D0860421: Larry J Marshall, MD, Apc
Lakeside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0860421 belongs to Larry J Marshall, MD, Apc in Lakeside, CA.
Certificate of Waiver, effective December 15, 2025, expires December 14, 2027.
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
- December 15, 2025
- Certificate expiration
- December 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 3, 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
- 05D0860421
- Lab name
- Larry J Marshall, MD, Apc
- Address
- 12517 Lakeshore Dr, Lakeside, CA 92040
- Phone
- (619) 443-3843
- Fax
- (619) 390-1810
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lakeside, CA
- Archana Corporation DBACertificate of Waiver, Pharmacy05D2235032
- GHC of Lakeside, LLCCertificate of Waiver, Skilled nursing or nursing facility05D0893434
- Onsite Innovations, LLCCertificate of Waiver, Industrial05D2313307
- San Diego Detox LLCCertificate of Waiver, Other05D2277194
- San Diego Detox LLCCertificate of Waiver, Other05D2280334
Related
Questions
What is the CLIA number for Larry J Marshall, MD, Apc in Lakeside?
05D0860421, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Larry J Marshall, MD, Apc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0860421 expire?
The CMS file lists December 14, 2027 as the certificate expiration date; the certificate took effect December 15, 2025.