CLIA lab

CLIA 05D2065695: Crownview Medical Group Inc

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

CLIA number 05D2065695 belongs to Crownview Medical Group Inc in Coronado, CA.

Certificate of Waiver, effective September 12, 2025, expires September 11, 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 12, 2025
Certificate expiration
September 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 12, 2013
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
05D2065695
Lab name
Crownview Medical Group Inc
Address
158 C Ave, Coronado, CA 92118
Phone
(619) 435-5400
Fax
(619) 435-5401

Annual test volume the lab reported

Waived tests
20

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

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Questions

What is the CLIA number for Crownview Medical Group Inc in Coronado?

05D2065695, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Crownview Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2065695 expire?

The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.

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