CLIA lab
CLIA 05D0963266: Children's Primary Care Medical Group Inc
Fallbrook, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0963266 belongs to Children's Primary Care Medical Group Inc in Fallbrook, CA.
Certificate of Waiver, effective November 20, 2025, expires November 19, 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
- November 20, 2025
- Certificate expiration
- November 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 27, 1999
- Facility type
- Other practitioner
- 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
- 05D0963266
- Lab name
- Children's Primary Care Medical Group Inc
- Address
- 1107 South Mission Road, Fallbrook, CA 92028
- Phone
- (760) 451-0070
- Fax
- (760) 451-1499
Annual test volume the lab reported
- Waived tests
- 1,011
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A Better Life Recovery LLCCertificate of Waiver, Other05D2340715
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2307822
- Acorn Community Birth & Wellness CenterCertificate of Waiver, Other05D2341452
- Crestwood Fallbrook Healing CenterCertificate of Waiver, Other05D2305386
- Dermatology Specialists, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0567097
- Fallbrook Hospital District SNFCertificate of Waiver, Skilled nursing or nursing facility05D0715359
- Fallbrook Medical CenterCertificate of Waiver, Physician office05D2030478
- Graybill Medical GroupCertificate of Waiver, Physician office05D0968071
- Hope Clinic for WomenCertificate of Waiver, Community clinic05D2079967
Related
Questions
What is the CLIA number for Children's Primary Care Medical Group Inc in Fallbrook?
05D0963266, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Children's Primary Care Medical Group Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0963266 expire?
The CMS file lists November 19, 2027 as the certificate expiration date; the certificate took effect November 20, 2025.