CLIA lab
CLIA 05D0576087: Memorialcare Medical Group
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0576087 belongs to Memorialcare Medical Group in Costa Mesa, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 24, 2025, expires December 23, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 24, 2025
- Certificate expiration
- December 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0576087
- Lab name
- Memorialcare Medical Group
- Address
- 722 Baker Street, Costa Mesa, CA 92626
- Phone
- (714) 557-6300
- Fax
- (714) 699-9567
Annual test volume the lab reported
- Waived tests
- 1,200
- Provider-performed microscopy tests
- 20
- Total
- 1,220
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 Memorialcare Medical Group in Costa Mesa?
05D0576087, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorialcare Medical Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0576087 expire?
The CMS file lists December 23, 2027 as the certificate expiration date; the certificate took effect December 24, 2025.