CLIA lab
CLIA 05D1089853: Southern California Liver Centers
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1089853 belongs to Southern California Liver Centers in San Clemente, CA.
Certificate of Waiver, effective September 29, 2024, expiration date September 28, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 29, 2024
- Certificate expiration
- September 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2008
- 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
- 05D1089853
- Lab name
- Southern California Liver Centers
- Address
- 675 Camino De Los Mares Ste 301, San Clemente, CA 92673
- Phone
- (619) 522-0330
- Fax
- (619) 996-2014
Annual test volume the lab reported
- Waived tests
- 100
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 Southern California Liver Centers in San Clemente?
05D1089853, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern California Liver Centers hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1089853 expire?
The CMS file lists September 28, 2026 as the certificate expiration date; the certificate took effect September 29, 2024.