CLIA lab
CLIA 05D1105448: G Ryan Dominguez, MD
La Jolla, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1105448 belongs to G Ryan Dominguez, MD in La Jolla, CA.
Certificate of Waiver, effective September 23, 2025, expires September 22, 2027.
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 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2009
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1105448
- Lab name
- G Ryan Dominguez, MD
- Address
- 9850 Genesse Ave Ste 810, La Jolla, CA 92037
- Phone
- (858) 450-1212
- Fax
- (858) 453-9271
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ambulatory SurgeryCertificate of Waiver, Ambulatory surgery center05D2050753
- American Pacific Health FoundationCertificate of Waiver, Health fair05D2041568
- Balboa Nephrology Medical GroupCertificate of Waiver, Physician office05D1061616
- California Cancer AssociatesCertificate of Accreditation, Physician office05D0675449
- Cardiac RehabilitationCertificate of Waiver, Ancillary test site05D2050856
- Caris Mpi, Inc DBA Caris Life SciencesCertificate of Compliance, Independent05D2191611
- Children's Primary CareCertificate of Waiver, Physician office05D0681189
- Childrens Primary Care Medical Group IncCertificate of Waiver, Physician office05D0926464
- Coastal Medical & Cosmetic DermatologyCertificate of Compliance, Physician office05D1094617
- Cove at La Jolla, theCertificate of Waiver, Skilled nursing or nursing facility05D0567454
Related
Questions
What is the CLIA number for G Ryan Dominguez, MD in La Jolla?
05D1105448, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does G Ryan Dominguez, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1105448 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.