CLIA lab

CLIA 05D2029395: Lake Elsinore Clinica Medica Familiar

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

CLIA number 05D2029395 belongs to Lake Elsinore Clinica Medica Familiar in Lake Elsinore, CA.

Certificate of Waiver, effective September 7, 2025, expires September 6, 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 7, 2025
Certificate expiration
September 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 7, 2011
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2029395
Lab name
Lake Elsinore Clinica Medica Familiar
Address
141 N Main St, Lake Elsinore, CA 92530
Phone
(951) 354-3221
Fax
(951) 394-0685

Annual test volume the lab reported

Waived tests
999

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

Affiliated CLIA numbers

Other labs in Lake Elsinore, CA

Related

Questions

What is the CLIA number for Lake Elsinore Clinica Medica Familiar in Lake Elsinore?

05D2029395, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Elsinore Clinica Medica Familiar hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2029395 expire?

The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.

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