CLIA lab
CLIA 05D2218061: Scpmg San Clemente Target
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2218061 belongs to Scpmg San Clemente Target in San Clemente, CA.
Certificate of Waiver, effective March 25, 2025, expires March 24, 2027.
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
- March 25, 2025
- Certificate expiration
- March 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2021
- Facility type
- Health maintenance organization
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2218061
- Lab name
- Scpmg San Clemente Target
- Address
- 990 Avenida Vista Hermosa, San Clemente, CA 92673
- Phone
- (949) 366-5795
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Clemente, CA
- Advanced Institute of Dermatology, Inc.Certificate of Compliance, Physician office05D2145032
- C.L.O. Inc DBA Calle Sonora Place Icf/Dd-NCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2100613
- Eleven 11 Recovery LLCCertificate of Waiver, Other05D2317563
- Encinitas DetoxCertificate of Waiver, Other05D2306589
- Green Dermatologic Medical GroupCertificate of Compliance, Physician office05D0934428
- Harvard Eye AssociatesCertificate of Waiver, Physician office05D2126188
- Health and Wellness Center IncCertificate of Waiver, Physician office05D2016782
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0579395
- Hoag ClinicCertificate of Waiver, Physician office05D2193830
- Hoag ClinicCertificate of Waiver, Physician office05D2302464
Related
Questions
What is the CLIA number for Scpmg San Clemente Target in San Clemente?
05D2218061, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg San Clemente Target hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2218061 expire?
The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.