CLIA lab
CLIA 05D0902108: Childrens Primary Care
El Cajon, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0902108 belongs to Childrens Primary Care in El Cajon, CA.
Certificate of Waiver, effective June 13, 2025, expires June 12, 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
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 1995
- Facility type
- Other practitioner
- 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
- 05D0902108
- Lab name
- Childrens Primary Care
- Additional name
- Medical Group, Inc
- Address
- 844 Jackman St, El Cajon, CA 92020
- Phone
- (619) 442-2560
- Fax
- (619) 401-1889
Annual test volume the lab reported
- Waived tests
- 18,178
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in El Cajon, CA
- Alnoor Adult Health Care CenterCertificate of Waiver, Other05D2322121
- Alvarado Parkway Institute/Outpatient ServicesCertificate of Waiver, Other05D2328904
- Belle Vie Home Health Inc.Certificate of Waiver, Home health agency05D2123485
- Better Life PharmacyCertificate of Waiver, Pharmacy05D2270664
- Bradley CourtCertificate of Waiver, Skilled nursing or nursing facility05D0932433
- Bridgewater Bay Holdings LLC DBA the Shores Post-Certificate of Waiver, Skilled nursing or nursing facility05D0571411
- Brightstar Care of Coronado La MesaCertificate of Waiver, Home health agency05D2030642
- Broadway Medical ClinicCertificate of Waiver, Physician office05D2197090
- Cordell Labs, LLC DBA Specialty LaboratoriesCertificate of Accreditation, Independent05D2335250
- Cottonwood Canyon Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0898980
Related
Questions
What is the CLIA number for Childrens Primary Care in El Cajon?
05D0902108, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Childrens Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0902108 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.