CLIA lab

CLIA 05D0993146: Lornalyn Carrillo MD

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

CLIA number 05D0993146 belongs to Lornalyn Carrillo MD in Daly City, CA.

Certificate of Waiver, effective November 6, 2025, expires November 5, 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 6, 2025
Certificate expiration
November 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 6, 2001
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
05D0993146
Lab name
Lornalyn Carrillo MD
Address
1800 Sullivan Avenue Suite #101, Daly City, CA 94015
Phone
(650) 904-0459
Fax
(650) 904-6826

Annual test volume the lab reported

Waived tests
675

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 Lornalyn Carrillo MD in Daly City?

05D0993146, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lornalyn Carrillo MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0993146 expire?

The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.

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