CLIA lab
CLIA 05D1036648: Banaie Medical Corporation Ali Banaie
La Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1036648 belongs to Banaie Medical Corporation Ali Banaie in La Mesa, CA.
Certificate of Waiver, effective February 7, 2025, expires February 6, 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
- February 7, 2025
- Certificate expiration
- February 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 7, 2005
- 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
- 05D1036648
- Lab name
- Banaie Medical Corporation Ali Banaie
- Address
- 8860 Center Drive #420, La Mesa, CA 91942
- Phone
- (619) 469-5400
- Fax
- (619) 464-1311
Annual test volume the lab reported
- Waived tests
- 120
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 Banaie Medical Corporation Ali Banaie in La Mesa?
05D1036648, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banaie Medical Corporation Ali Banaie hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1036648 expire?
The CMS file lists February 6, 2027 as the certificate expiration date; the certificate took effect February 7, 2025.