CLIA lab
CLIA 05D2111898: Magnolia Surgery Center LLC
El Cajon, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2111898 belongs to Magnolia Surgery Center LLC in El Cajon, CA.
Certificate of Waiver, effective April 18, 2026, expires April 17, 2028.
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
- April 18, 2026
- Certificate expiration
- April 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2016
- 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
- 05D2111898
- Lab name
- Magnolia Surgery Center LLC
- Address
- 463 N Magnolia Ave Ste B, El Cajon, CA 92020
- Phone
- (619) 359-8380
- Fax
- (619) 312-1672
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Belle Vie Home Health Inc.Certificate of Waiver, Home health agency05D2123485
- Better Life PharmacyCertificate of Waiver, Pharmacy05D2270664
- Bradley CourtCertificate of Waiver, Skilled nursing or nursing facility05D0932433
- Bridgewater Bay Holdings LLC DBA the Shores Post-Certificate of Waiver, Skilled nursing or nursing facility05D0571411
- Brightstar Care of Coronado La MesaCertificate of Waiver, Home health agency05D2030642
- Broadway Medical ClinicCertificate of Waiver, Physician office05D2197090
- Childrens Primary CareCertificate of Waiver, Other practitioner05D0902108
- Cordell Labs, LLC DBA Specialty LaboratoriesCertificate of Accreditation, Independent05D2335250
Related
Questions
What is the CLIA number for Magnolia Surgery Center LLC in El Cajon?
05D2111898, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2111898 expire?
The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.