CLIA lab
CLIA 05D1107031: Amy Witman MD, A Medical Corporation
San Diego, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1107031 belongs to Amy Witman MD, A Medical Corporation in San Diego, CA.
Certificate of Waiver, effective October 27, 2025, expires October 26, 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
- October 27, 2025
- Certificate expiration
- October 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 2009
- 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
- 05D1107031
- Lab name
- Amy Witman MD, A Medical Corporation
- Address
- 12395 El Camino Real Suite 115, San Diego, CA 92130
- Phone
- (858) 724-1313
- Fax
- (858) 724-1314
Annual test volume the lab reported
- Waived tests
- 150
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 Amy Witman MD, A Medical Corporation in San Diego?
05D1107031, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amy Witman MD, A Medical Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1107031 expire?
The CMS file lists October 26, 2027 as the certificate expiration date; the certificate took effect October 27, 2025.