CLIA lab
CLIA 05D1097682: J & J Casa Del Mar #2
Penryn, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1097682 belongs to J & J Casa Del Mar #2 in Penryn, CA.
Certificate of Waiver, effective August 20, 2026, expires August 19, 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
- August 20, 2026
- Certificate expiration
- August 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 1, 2009
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D1097682
- Lab name
- J & J Casa Del Mar #2
- Address
- 2525 Delmar Ave, Penryn, CA 95663
- Phone
- (916) 652-0540
- Fax
- (916) 652-6739
Annual test volume the lab reported
- Waived tests
- 1,095
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 J & J Casa Del Mar #2 in Penryn?
05D1097682, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does J & J Casa Del Mar #2 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1097682 expire?
The CMS file lists August 19, 2028 as the certificate expiration date; the certificate took effect August 20, 2026.