CLIA lab
CLIA 05D0931151: Villa Monte Vista
Poway, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0931151 belongs to Villa Monte Vista in Poway, CA.
Certificate of Waiver, effective July 23, 2025, expires July 22, 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
- July 23, 2025
- Certificate expiration
- July 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 1997
- 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
- 05D0931151
- Lab name
- Villa Monte Vista
- Address
- 12696 Monte Vista Road, Poway, CA 92064
- Phone
- (858) 487-6242
- Fax
- (858) 487-0254
Care facility at this address
- Boulder Creek Post AcuteCMS Care Compare ratings for the facility at the same street address
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- Ficare MedCertificate of Waiver, Physician office05D2029221
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- Obstetrics & Gynecology Li Fan MD IncCertificate of Waiver, Physician office05D2120746
Related
Questions
What is the CLIA number for Villa Monte Vista in Poway?
05D0931151, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villa Monte Vista hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0931151 expire?
The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.