CLIA lab
CLIA 05D2078398: Mystical Rose Obstetrics and Gynecology
Fallbrook, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2078398 belongs to Mystical Rose Obstetrics and Gynecology in Fallbrook, CA.
Certificate of Waiver, effective May 27, 2026, expires May 26, 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 of Waiver
- Certificate effective
- May 27, 2026
- Certificate expiration
- May 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 2014
- 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
- 05D2078398
- Lab name
- Mystical Rose Obstetrics and Gynecology
- Address
- 577 E Elder St, Ste K, Fallbrook, CA 92028
- Phone
- (760) 983-4024
- Fax
- (760) 723-9010
Annual test volume the lab reported
- Waived tests
- 1,390
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Dermatology Specialists, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0567097
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- Graybill Medical GroupCertificate of Waiver, Physician office05D0968071
Related
Questions
What is the CLIA number for Mystical Rose Obstetrics and Gynecology in Fallbrook?
05D2078398, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mystical Rose Obstetrics and Gynecology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2078398 expire?
The CMS file lists May 26, 2028 as the certificate expiration date; the certificate took effect May 27, 2026.