CLIA lab

CLIA 05D0581609: Memorialcare Medical Group

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

CLIA number 05D0581609 belongs to Memorialcare Medical Group in Fountain Valley, CA.

Certificate for Provider-Performed Microscopy Procedures, effective June 8, 2026, expires June 7, 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 for Provider-Performed Microscopy Procedures
Certificate effective
June 8, 2026
Certificate expiration
June 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0581609
Lab name
Memorialcare Medical Group
Address
16333 Harbor Blvd, Fountain Valley, CA 92708
Phone
(714) 549-1300
Fax
(714) 433-3100

Annual test volume the lab reported

Waived tests
1,300
Provider-performed microscopy tests
25
Total
1,325

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

Affiliated CLIA numbers

Other labs in Fountain Valley, CA

Related

Questions

What is the CLIA number for Memorialcare Medical Group in Fountain Valley?

05D0581609, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Memorialcare Medical Group hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0581609 expire?

The CMS file lists June 7, 2028 as the certificate expiration date; the certificate took effect June 8, 2026.

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