CLIA lab
CLIA 05D1005021: Poway Ca Multi Specialty ASC LLC
Poway, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1005021 belongs to Poway Ca Multi Specialty ASC LLC in Poway, CA.
Certificate of Waiver, effective October 11, 2026, expires October 10, 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 of Waiver
- Certificate effective
- October 11, 2026
- Certificate expiration
- October 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 2002
- Facility type
- Ambulatory surgery center
- 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
- 05D1005021
- Lab name
- Poway Ca Multi Specialty ASC LLC
- Additional name
- DBA Poway Surgery Center
- Address
- 15611 Pomerado Rd Ste 220, Poway, CA 92064
- Phone
- (858) 521-0031
- Fax
- (858) 521-0921
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Children's Primary Care Medical Group IncCertificate of Waiver, Physician office05D0700583
- Elizabeth Salada, MDCertificate of Waiver, Physician office05D1093341
- Ficare MedCertificate of Waiver, Physician office05D2029221
- Focus on Health Inc PowayCertificate for Provider-Performed Microscopy Procedures, Physician office05D2340294
- Kathy Clewell MDCertificate of Waiver, Community clinic05D0950023
- Mission Prep Healthcare LLCCertificate of Waiver, Comprehensive outpatient rehab facility05D2307768
- Obstetrics & Gynecology Li Fan MD IncCertificate of Waiver, Physician office05D2120746
Related
Questions
What is the CLIA number for Poway Ca Multi Specialty ASC LLC in Poway?
05D1005021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Poway Ca Multi Specialty ASC LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1005021 expire?
The CMS file lists October 10, 2028 as the certificate expiration date; the certificate took effect October 11, 2026.