CLIA lab
CLIA 05D2197090: Broadway Medical Clinic
El Cajon, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2197090 belongs to Broadway Medical Clinic in El Cajon, CA.
Certificate of Waiver, effective October 21, 2026, expires October 20, 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
- October 21, 2026
- Certificate expiration
- October 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2020
- 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
- 05D2197090
- Lab name
- Broadway Medical Clinic
- Address
- 1351 Broadway, El Cajon, CA 92021
- Phone
- (301) 466-1078
- Fax
- (619) 567-2455
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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- 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
- Childrens Primary CareCertificate of Waiver, Other practitioner05D0902108
- Cordell Labs, LLC DBA Specialty LaboratoriesCertificate of Accreditation, Independent05D2335250
- Cottonwood Canyon Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0898980
Related
Questions
What is the CLIA number for Broadway Medical Clinic in El Cajon?
05D2197090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broadway Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2197090 expire?
The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.