CLIA lab

CLIA 05D2101219: La Mesa Surgical Center

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

CLIA number 05D2101219 belongs to La Mesa Surgical Center in La Mesa, CA.

Certificate of Waiver, effective August 31, 2025, expires August 30, 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
August 31, 2025
Certificate expiration
August 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 31, 2015
Facility type
Ambulatory surgery center
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
05D2101219
Lab name
La Mesa Surgical Center
Address
8401 Grant Ave, La Mesa, CA 91941
Phone
(619) 464-9876
Fax
(619) 464-9877

Annual test volume the lab reported

Waived tests
40

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in La Mesa, CA

Related

Questions

What is the CLIA number for La Mesa Surgical Center in La Mesa?

05D2101219, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does La Mesa Surgical Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2101219 expire?

The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.

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