CLIA lab

CLIA 05D2117165: Children's Primary Care Medical Group, Inc

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

CLIA number 05D2117165 belongs to Children's Primary Care Medical Group, Inc in Carlsbad, CA.

Certificate of Waiver, effective August 10, 2026, expires August 9, 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
August 10, 2026
Certificate expiration
August 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 10, 2016
Facility type
Physician office
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
05D2117165
Lab name
Children's Primary Care Medical Group, Inc
Address
3257 Camino De Los Coches Ste 202, Carlsbad, CA 92009
Phone
(760) 633-3640
Fax
(760) 633-3644

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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Related

Questions

What is the CLIA number for Children's Primary Care Medical Group, Inc in Carlsbad?

05D2117165, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Children's Primary Care Medical Group, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2117165 expire?

The CMS file lists August 9, 2028 as the certificate expiration date; the certificate took effect August 10, 2026.

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