CLIA lab
CLIA 05D0580255: Newport Beach Surgical and Medical Group
Yorba Linda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0580255 belongs to Newport Beach Surgical and Medical Group in Yorba Linda, CA.
Certificate of Compliance, effective January 12, 2024, expiration date September 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 Compliance
- Certificate effective
- January 12, 2024
- Certificate expiration
- September 30, 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
- 05D0580255
- Lab name
- Newport Beach Surgical and Medical Group
- Address
- 17451 Bastanchury Rd, Ste 103A, Yorba Linda, CA 92886
- Phone
- (714) 961-0143
- Fax
- (714) 961-0265
Annual test volume the lab reported
- Provider-performed microscopy tests
- 13
- Other nonwaived tests
- 756
- Total
- 769
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Caduceus Medical GroupCertificate of Waiver, Physician office05D0912888
- Caduceus Medical GroupCertificate of Waiver, Physician office05D2335952
- Casa De Yorba LindaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2155622
- Garden Park LabsCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1084093
- Hillside Horizon for Teens LLCCertificate of Waiver, Other05D2329894
- Lighthouse LabsCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1084092
- Malcolm Ke, MD A Professional CorporationCertificate of Compliance, Physician office05D2015360
Related
Questions
What is the CLIA number for Newport Beach Surgical and Medical Group in Yorba Linda?
05D0580255, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Newport Beach Surgical and Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0580255 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect January 12, 2024.