CLIA lab
CLIA 05D2081419: Anwinnah Bautista MD PC
National City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2081419 belongs to Anwinnah Bautista MD PC in National City, CA.
Certificate of Waiver, effective July 24, 2022, expiration date July 23, 2024.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- July 24, 2022
- Certificate expiration
- July 23, 2024
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 24, 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
- 05D2081419
- Lab name
- Anwinnah Bautista MD PC
- Address
- 1430 E Plaza Blvd Ste E-18, E-19A, National City, CA 91950
- Phone
- (619) 434-2813
- Fax
- (855) 937-3720
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Albert Sharf MDCertificate of Waiver, Physician office05D0957842
- Bailony PediatricsCertificate of Waiver, Physician office05D2092668
- Balboa Nephrology Medical Group IncCertificate of Waiver, Physician office05D1091259
- CSL Plasma IncCertificate of Compliance, Other05D2227461
- Concentra - National CityCertificate of Waiver, Physician office05D1057400
- Doctor Benjamin O Camacho Med CorporationCertificate of Waiver, Physician office05D0970385
- Donna M Crowley, MD & Dwight Lemon, MD IncCertificate of Waiver, Physician office05D2008762
Related
Questions
What is the CLIA number for Anwinnah Bautista MD PC in National City?
05D2081419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Anwinnah Bautista MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2081419 expire?
The CMS file lists July 23, 2024 as the certificate expiration date; the certificate took effect July 24, 2022.