CLIA lab

CLIA 05D2042367: Lake San Marcos Family Medicine

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

CLIA number 05D2042367 belongs to Lake San Marcos Family Medicine in San Marcos, CA.

Certificate for Provider-Performed Microscopy Procedures, effective June 11, 2026, expires June 10, 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 for Provider-Performed Microscopy Procedures
Certificate effective
June 11, 2026
Certificate expiration
June 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 11, 2012
Facility type
Physician office
Ownership (control type)
Proprietary
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
05D2042367
Lab name
Lake San Marcos Family Medicine
Address
1030 La Bonita Dr Ste 316, San Marcos, CA 92078
Phone
(760) 744-9626
Fax
(760) 744-0751

Annual test volume the lab reported

Waived tests
200
Provider-performed microscopy tests
150
Total
350

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

Other labs in San Marcos, CA

Related

Questions

What is the CLIA number for Lake San Marcos Family Medicine in San Marcos?

05D2042367, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake San Marcos Family Medicine hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2042367 expire?

The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.

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