CLIA lab
CLIA 05D0970248: Scpmg San Juan Capistrano Medical Office
San Juan Capistrano, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0970248 belongs to Scpmg San Juan Capistrano Medical Office in San Juan Capistrano, CA.
Certificate for Provider-Performed Microscopy Procedures, effective February 8, 2026, expires February 7, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 8, 2026
- Certificate expiration
- February 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 8, 2000
- 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
- 05D0970248
- Lab name
- Scpmg San Juan Capistrano Medical Office
- Address
- 30400 Camino Capistrano, San Juan Capistrano, CA 92675
- Phone
- (949) 932-6126
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 250
- Total
- 1,250
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 Scpmg San Juan Capistrano Medical Office in San Juan Capistrano?
05D0970248, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg San Juan Capistrano Medical Office hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0970248 expire?
The CMS file lists February 7, 2028 as the certificate expiration date; the certificate took effect February 8, 2026.