CLIA lab
CLIA 05D2267003: Mountain Shadows Support Group
Escondido, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2267003 belongs to Mountain Shadows Support Group in Escondido, CA.
Certificate of Waiver, effective August 18, 2026, expires August 17, 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 18, 2026
- Certificate expiration
- August 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 18, 2022
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D2267003
- Lab name
- Mountain Shadows Support Group
- Address
- 2067 W El Norte Parkway, Escondido, CA 92026
- Phone
- (760) 743-3714
- Fax
- (760) 738-8530
Annual test volume the lab reported
- Waived tests
- 2,000
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 Mountain Shadows Support Group in Escondido?
05D2267003, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain Shadows Support Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2267003 expire?
The CMS file lists August 17, 2028 as the certificate expiration date; the certificate took effect August 18, 2026.