CLIA lab

CLIA 05D0580073: La Magnolia Medical Group Inc

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

CLIA number 05D0580073 belongs to La Magnolia Medical Group Inc in Westminster, 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
June 16, 1995
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
05D0580073
Lab name
La Magnolia Medical Group Inc
Address
14571 Magnolia St Ste 210, Westminster, CA 92683
Phone
(714) 894-3103
Fax
(714) 894-6264

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Westminster, CA

Related

Questions

What is the CLIA number for La Magnolia Medical Group Inc in Westminster?

05D0580073, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does La Magnolia Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0580073 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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