CLIA lab
CLIA 05D0949914: San Clemente Internal Medicine Group
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0949914 belongs to San Clemente Internal Medicine Group in San Clemente, CA.
Certificate of Waiver, effective August 13, 2026, expires August 12, 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
- August 13, 2026
- Certificate expiration
- August 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 1998
- 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
- 05D0949914
- Lab name
- San Clemente Internal Medicine Group
- Address
- 665 Camino De Los MARES,#309, San Clemente, CA 92673
- Phone
- (949) 487-9034
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for San Clemente Internal Medicine Group in San Clemente?
05D0949914, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Clemente Internal Medicine Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0949914 expire?
The CMS file lists August 12, 2028 as the certificate expiration date; the certificate took effect August 13, 2026.