CLIA lab
CLIA 05D0962066: San Juan Capistrano South Dialysis
San Juan Capistrano, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0962066 belongs to San Juan Capistrano South Dialysis in San Juan Capistrano, CA.
Certificate of Waiver, effective June 23, 2025, expires June 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
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 1999
- Facility type
- End stage renal disease dialysis 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
- 05D0962066
- Lab name
- San Juan Capistrano South Dialysis
- Address
- 31736 Rancho Viejo Rd, Ste D, San Juan Capistrano, CA 92675
- Phone
- (949) 240-1454
- Fax
- (949) 240-0735
Annual test volume the lab reported
- Waived tests
- 30,888
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita San Juan Capistrano South DialysisCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for San Juan Capistrano South Dialysis in San Juan Capistrano?
05D0962066, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Juan Capistrano South Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0962066 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.