CLIA lab
CLIA 05D2090767: Fredericka Manor Care Center
Chula Vista, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2090767 belongs to Fredericka Manor Care Center in Chula Vista, CA.
Certificate of Waiver, effective January 29, 2025, expires January 28, 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 29, 2025
- Certificate expiration
- January 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 2015
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Other
- 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
- 05D2090767
- Lab name
- Fredericka Manor Care Center
- Address
- 111 Third Avenue, Chula Vista, CA 91910
- Phone
- (619) 427-2777
- Fax
- (619) 427-8737
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Biomat USA, Inc.Certificate of Accreditation, Other05D2135855
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- Brett J Berman MD ApcCertificate of Waiver, Physician office05D2075970
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Related
Questions
What is the CLIA number for Fredericka Manor Care Center in Chula Vista?
05D2090767, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fredericka Manor Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2090767 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.