CLIA lab
CLIA 05D2120746: Obstetrics & Gynecology Li Fan MD Inc
Poway, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2120746 belongs to Obstetrics & Gynecology Li Fan MD Inc in Poway, CA.
Certificate of Waiver, effective October 24, 2024, expiration date October 23, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 24, 2024
- Certificate expiration
- October 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 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
- 05D2120746
- Lab name
- Obstetrics & Gynecology Li Fan MD Inc
- Address
- 15725 Pomerado Rd Ste 207, Poway, CA 92064
- Phone
- (858) 451-7944
- Fax
- (858) 451-0082
Annual test volume the lab reported
- Waived tests
- 1,500
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 Obstetrics & Gynecology Li Fan MD Inc in Poway?
05D2120746, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Obstetrics & Gynecology Li Fan MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2120746 expire?
The CMS file lists October 23, 2026 as the certificate expiration date; the certificate took effect October 24, 2024.