CLIA lab

CLIA 05D1039667: Livingwater's Medical Clinic Inc

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

CLIA number 05D1039667 belongs to Livingwater's Medical Clinic Inc in Murrieta, CA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 19, 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
05D1039667
Lab name
Livingwater's Medical Clinic Inc
Additional name
Jonathan Y. Yun, D.O.
Address
24910 Las Brisas Rd Ste 111, Murrieta, CA 92562
Phone
(951) 694-8549
Fax
(951) 694-0249

Annual test volume the lab reported

Waived tests
1,000

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 Livingwater's Medical Clinic Inc in Murrieta?

05D1039667, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Livingwater's Medical Clinic Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1039667 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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