CLIA lab

CLIA 05D1101084: Poway Healthcare Center

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

CLIA number 05D1101084 belongs to Poway Healthcare Center in Poway, CA.

Certificate of Waiver, effective February 12, 2026, expires February 11, 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
February 12, 2026
Certificate expiration
February 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 19, 2009
Facility type
Skilled nursing or nursing facility
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
05D1101084
Lab name
Poway Healthcare Center
Address
15632 Pomerado Rd, Poway, CA 92064
Phone
(858) 485-5153

Annual test volume the lab reported

Waived tests
20,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Poway, CA

Related

Questions

What is the CLIA number for Poway Healthcare Center in Poway?

05D1101084, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Poway Healthcare Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1101084 expire?

The CMS file lists February 11, 2028 as the certificate expiration date; the certificate took effect February 12, 2026.

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