CLIA lab
CLIA 05D1010819: San Juan Pediatrics, Inc
San Juan Capistrano, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1010819 belongs to San Juan Pediatrics, Inc in San Juan Capistrano, CA.
Certificate of Waiver, effective June 30, 2025, expires June 29, 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
- June 30, 2025
- Certificate expiration
- June 29, 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
- 05D1010819
- Lab name
- San Juan Pediatrics, Inc
- Address
- 27372 Calle Arroyo, San Juan Capistrano, CA 92675
- Phone
- (949) 388-9009
- Fax
- (949) 388-9665
Annual test volume the lab reported
- Waived tests
- 2,000
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 San Juan Pediatrics, Inc in San Juan Capistrano?
05D1010819, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Juan Pediatrics, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1010819 expire?
The CMS file lists June 29, 2027 as the certificate expiration date; the certificate took effect June 30, 2025.