CLIA lab
CLIA 05D0643302: Costa Victoria Healthcare, LLC
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0643302 belongs to Costa Victoria Healthcare, LLC in Costa Mesa, 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
- April 21, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0643302
- Lab name
- Costa Victoria Healthcare, LLC
- Additional name
- DBA Victoria Healthcare Center
- Address
- 340 Victoria St, Costa Mesa, CA 92627
- Phone
- (949) 642-0387
- Fax
- (949) 646-0313
Annual test volume the lab reported
- Waived tests
- 5,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Victoria Healthcare and Rehabilitation CenterCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Costa Victoria Healthcare, LLC in Costa Mesa?
05D0643302, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costa Victoria Healthcare, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0643302 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.