CLIA lab

CLIA 05D2059363: Scripps Clinic John R Anderson V Medical Pavillion

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

CLIA number 05D2059363 belongs to Scripps Clinic John R Anderson V Medical Pavillion in La Jolla, CA.

Certificate for Provider-Performed Microscopy Procedures, effective May 21, 2025, expires May 20, 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 for Provider-Performed Microscopy Procedures
Certificate effective
May 21, 2025
Certificate expiration
May 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 21, 2013
Facility type
Physician office
Ownership (control type)
Private
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
05D2059363
Lab name
Scripps Clinic John R Anderson V Medical Pavillion
Address
9898 Genesee Ave, La Jolla, CA 92037
Phone
(858) 554-9642
Fax
(858) 404-5951

Annual test volume the lab reported

Waived tests
1,409
Provider-performed microscopy tests
636
Total
2,045

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 Scripps Clinic John R Anderson V Medical Pavillion in La Jolla?

05D2059363, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scripps Clinic John R Anderson V Medical Pavillion hold?

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

When does CLIA 05D2059363 expire?

The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.

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