CLIA lab

CLIA 05D1010798: Noah C Johnson MD

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

CLIA number 05D1010798 belongs to Noah C Johnson MD in Santee, CA.

Certificate of Waiver, effective March 24, 2025, expires March 23, 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
March 24, 2025
Certificate expiration
March 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 2003
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
05D1010798
Lab name
Noah C Johnson MD
Address
10158 Buena Vista Avenue, Santee, CA 92071
Phone
(619) 562-1140
Fax
(619) 562-5362

Annual test volume the lab reported

Waived tests
200

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 Noah C Johnson MD in Santee?

05D1010798, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Noah C Johnson MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1010798 expire?

The CMS file lists March 23, 2027 as the certificate expiration date; the certificate took effect March 24, 2025.

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