CLIA lab

CLIA 05D0950023: Kathy Clewell MD

Poway, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0950023 belongs to Kathy Clewell MD in Poway, CA.

Certificate of Waiver, effective August 17, 2026, expires August 16, 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 17, 2026
Certificate expiration
August 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 17, 1998
Facility type
Community clinic
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
05D0950023
Lab name
Kathy Clewell MD
Address
15525 Pomerado Rd Ste A4, Poway, CA 92064
Phone
(858) 592-7040
Fax
(858) 592-7049

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.

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Related

Questions

What is the CLIA number for Kathy Clewell MD in Poway?

05D0950023, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kathy Clewell MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0950023 expire?

The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.

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