CLIA lab
CLIA 05D0893434: GHC of Lakeside, LLC
Lakeside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0893434 belongs to GHC of Lakeside, LLC in Lakeside, CA.
Certificate of Waiver, effective October 22, 2026, expires October 21, 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
- October 22, 2026
- Certificate expiration
- October 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 1994
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0893434
- Lab name
- GHC of Lakeside, LLC
- Additional name
- DBA Lakeside Special Care Center
- Address
- 11962 Woodside Avenue, Lakeside, CA 92040
- Phone
- (619) 561-1222
- Fax
- (619) 390-9487
Annual test volume the lab reported
- Waived tests
- 18,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Lakeside Special Care CenterCMS Care Compare ratings for the facility at the same street address
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- Larry J Marshall, MD, ApcCertificate of Waiver, Physician office05D0860421
- 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 GHC of Lakeside, LLC in Lakeside?
05D0893434, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does GHC of Lakeside, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0893434 expire?
The CMS file lists October 21, 2028 as the certificate expiration date; the certificate took effect October 22, 2026.