CLIA lab
CLIA 05D2091115: Menifee Home Dialysis
Menifee, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2091115 belongs to Menifee Home Dialysis in Menifee, CA.
Certificate of Waiver, effective February 5, 2025, expires February 4, 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
- February 5, 2025
- Certificate expiration
- February 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2015
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2091115
- Lab name
- Menifee Home Dialysis
- Address
- 29878 Haun Rd Ste 100, Menifee, CA 92586
- Phone
- (951) 679-2396
- Fax
- (951) 301-9725
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Menifee Home DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Menifee, CA
- A Plus Urgent CareCertificate of Waiver, Physician office05D2178433
- Abayomi A Odubela MD ACertificate of Waiver, Physician office05D1000089
- Advanced Dermatology, Thomas J Hoffmann MDCertificate of Compliance, Physician office05D1057914
- Brightstar CareCertificate of Waiver, Home health agency05D2065998
- CV Mehta MD Medical CorpCertificate of Waiver, Physician office05D2293807
- Children's Primary Care Medical GroupCertificate of Waiver, Physician office05D0988912
- Gonzales Medical GroupCertificate of Waiver, Physician office05D0951428
- Grace Family Health, Inc.Certificate of Waiver, Physician office05D2291137
- Menifee Dental GroupCertificate of Waiver, Other05D2287683
- Menifee Global Multi-Specialty Group IncCertificate of Waiver, Physician office05D2282664
Related
Questions
What is the CLIA number for Menifee Home Dialysis in Menifee?
05D2091115, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Menifee Home Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2091115 expire?
The CMS file lists February 4, 2027 as the certificate expiration date; the certificate took effect February 5, 2025.