CLIA lab

CLIA 05D2090160: Angelicum Home Health, Inc.

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

CLIA number 05D2090160 belongs to Angelicum Home Health, Inc. in San Diego, CA.

Certificate of Waiver, effective January 15, 2025, expires January 14, 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
January 15, 2025
Certificate expiration
January 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2015
Facility type
Home health agency
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
05D2090160
Lab name
Angelicum Home Health, Inc.
Address
3914 Murphy Canyon Rd, Ste A166, San Diego, CA 92123
Phone
(858) 495-0400
Fax
(858) 496-9200

Annual test volume the lab reported

Waived tests
120

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 Angelicum Home Health, Inc. in San Diego?

05D2090160, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Angelicum Home Health, Inc. hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2090160 expire?

The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.

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