CLIA lab

CLIA 05D2195656: Wael Kouli MD PC

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

CLIA number 05D2195656 belongs to Wael Kouli MD PC in Coronado, CA.

Certificate of Waiver, effective October 11, 2024, expiration date October 10, 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 11, 2024
Certificate expiration
October 10, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 11, 2020
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
05D2195656
Lab name
Wael Kouli MD PC
Address
120 C Avenue Suite #130, Coronado, CA 92118
Phone
(619) 435-5880
Fax
(619) 435-0938

Annual test volume the lab reported

Waived tests
144

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

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Questions

What is the CLIA number for Wael Kouli MD PC in Coronado?

05D2195656, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wael Kouli MD PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2195656 expire?

The CMS file lists October 10, 2026 as the certificate expiration date; the certificate took effect October 11, 2024.

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