CLIA lab
CLIA 05D0579825: Tustin Irvine Internal Med Group, Inc
Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0579825 belongs to Tustin Irvine Internal Med Group, Inc in Tustin, CA.
Certificate of Waiver, effective December 16, 2025, expires December 15, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 16, 2025
- Certificate expiration
- December 15, 2027
- 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
- 05D0579825
- Lab name
- Tustin Irvine Internal Med Group, Inc
- Address
- 15000 Kensington Park Drive Suite 360, Tustin, CA 92782
- Phone
- (714) 838-5610
- Fax
- (714) 838-5931
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Tustin, CA
- Allied Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2019815
- Alyssa Youngjee Kim, MDCertificate of Compliance, Physician office05D0946552
- Americana Adult Day CenterCertificate of Waiver, Other05D2265453
- Angenida Hospice LLCCertificate of Waiver, Hospice05D2203465
- Apex Health Providers DBA Afc Urgent Care TustinCertificate of Waiver, Other05D2325752
- Bambhania Medical CorporationCertificate of Waiver, Physician office05D2166376
- CK Family Therapy and Counseling Services, PCCertificate of Waiver, Other05D2332117
- Ccts Shared LaboratoryCertificate of Waiver, Physician office05D0578793
- Connections Menatal HealthCertificate of Waiver, Other05D2303810
- Cornerstone of Southern CaliforniaCertificate of Waiver, Other05D2083439
Related
Questions
What is the CLIA number for Tustin Irvine Internal Med Group, Inc in Tustin?
05D0579825, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tustin Irvine Internal Med Group, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0579825 expire?
The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.