CLIA lab
CLIA 05D0577163: Alta Gardens Care Center
Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0577163 belongs to Alta Gardens Care Center in Garden Grove, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0577163
- Lab name
- Alta Gardens Care Center
- Address
- 13075 Blackbird Street, Garden Grove, CA 92843
- Phone
- (714) 530-6322
- Fax
- (714) 530-0284
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.
Care facility at this address
- Alta Gardens Care CenterCMS Care Compare ratings for the facility at the same street address
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- Alta Home Health Care Services IncCertificate of Waiver, Home health agency05D2283074
- Altamed Medical Group-Garden Grove HarborCertificate of Waiver, Community clinic05D1106763
- Bethel Medical Group, Inc.Certificate of Waiver, Physician office05D2147855
- Brookdale Garden GroveCertificate of Waiver, Assisted living facility05D2215464
- Brookdale Valley ViewCertificate of Waiver, Assisted living facility05D2215530
- Cal Optima PaceCertificate of Waiver, Other05D2058114
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Questions
What is the CLIA number for Alta Gardens Care Center in Garden Grove?
05D0577163, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alta Gardens Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0577163 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.