CLIA lab

CLIA 05D0577177: Lalla-Reddy Corporation DBA Pacific Coast Medical

Fountain Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0577177 belongs to Lalla-Reddy Corporation DBA Pacific Coast Medical in Fountain Valley, CA.

Certificate of Waiver, effective December 15, 2024, expires December 14, 2026.

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
December 15, 2024
Certificate expiration
December 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
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
05D0577177
Lab name
Lalla-Reddy Corporation DBA Pacific Coast Medical
Address
9940 Talbert Ave Ste 101, Fountain Valley, CA 92708
Phone
(714) 968-6789
Fax
(714) 202-2626

Annual test volume the lab reported

Waived tests
1,100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fountain Valley, CA

Related

Questions

What is the CLIA number for Lalla-Reddy Corporation DBA Pacific Coast Medical in Fountain Valley?

05D0577177, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lalla-Reddy Corporation DBA Pacific Coast Medical hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0577177 expire?

The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.

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