CLIA lab
CLIA 05D1098800: J R Johnson, MD, Inc
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1098800 belongs to J R Johnson, MD, Inc in San Clemente, CA.
Certificate of Waiver, effective January 4, 2026, expires January 3, 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
- January 4, 2026
- Certificate expiration
- January 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D1098800
- Lab name
- J R Johnson, MD, Inc
- Address
- 665 Camino De Los Mares #200, San Clemente, CA 92673
- Phone
- (949) 429-6000
- Fax
- (949) 429-6001
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Green Dermatologic Medical GroupCertificate of Compliance, Physician office05D0934428
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- Hoag ClinicCertificate of Waiver, Physician office05D2193830
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Related
Questions
What is the CLIA number for J R Johnson, MD, Inc in San Clemente?
05D1098800, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does J R Johnson, MD, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1098800 expire?
The CMS file lists January 3, 2028 as the certificate expiration date; the certificate took effect January 4, 2026.