CLIA lab
CLIA 05D2316569: Bh-Sd Social Rehab LM, LLC DBA Jackson House
La Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2316569 belongs to Bh-Sd Social Rehab LM, LLC DBA Jackson House in La Mesa, CA.
Certificate of Waiver, effective January 8, 2025, expires January 7, 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
- January 8, 2025
- Certificate expiration
- January 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 2025
- Facility type
- Other
- 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
- 05D2316569
- Lab name
- Bh-Sd Social Rehab LM, LLC DBA Jackson House
- Address
- 5332 Jackson Drive, La Mesa, CA 91942
- Phone
- (619) 303-0933
- Fax
- (619) 269-5403
Annual test volume the lab reported
- Waived tests
- 6,000
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 Bh-Sd Social Rehab LM, LLC DBA Jackson House in La Mesa?
05D2316569, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bh-Sd Social Rehab LM, LLC DBA Jackson House hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2316569 expire?
The CMS file lists January 7, 2027 as the certificate expiration date; the certificate took effect January 8, 2025.