CLIA lab
CLIA 05D0955567: Paradise Valley Senior Health CTR Lab
National City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0955567 belongs to Paradise Valley Senior Health CTR Lab in National City, CA.
Certificate of Waiver, effective September 2, 2025, expires September 1, 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
- September 2, 2025
- Certificate expiration
- September 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 1999
- 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
- 05D0955567
- Lab name
- Paradise Valley Senior Health CTR Lab
- Address
- 655 Euclid Ave Ste 301, National City, CA 91950
- Phone
- (619) 470-4176
- Fax
- (619) 472-4598
Annual test volume the lab reported
- Waived tests
- 37
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Agile Occupational MedicineCertificate of Waiver, Physician office05D2346124
- Akeso Occupational HealthCertificate of Waiver, Physician office05D0891789
- Albert Sharf MDCertificate of Waiver, Physician office05D0957842
- Anwinnah Bautista MD PCCertificate of Waiver, Physician office05D2081419
- Bailony PediatricsCertificate of Waiver, Physician office05D2092668
- Balboa Nephrology Medical Group IncCertificate of Waiver, Physician office05D1091259
- CSL Plasma IncCertificate of Compliance, Other05D2227461
- Concentra - National CityCertificate of Waiver, Physician office05D1057400
- Doctor Benjamin O Camacho Med CorporationCertificate of Waiver, Physician office05D0970385
Related
Questions
What is the CLIA number for Paradise Valley Senior Health CTR Lab in National City?
05D0955567, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paradise Valley Senior Health CTR Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0955567 expire?
The CMS file lists September 1, 2027 as the certificate expiration date; the certificate took effect September 2, 2025.