CLIA lab
CLIA 05D0666301: Garden Grove Convalescent
Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0666301 belongs to Garden Grove Convalescent in Garden Grove, 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
- November 1, 1994
- 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
- 05D0666301
- Lab name
- Garden Grove Convalescent
- Address
- 12882 Shackelford Lane, Garden Grove, CA 92841
- Phone
- (714) 638-9470
- Fax
- (714) 638-4549
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Garden Grove Post AcuteCMS Care Compare ratings for the facility at the same street address
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- 365 Medical Group, Inc.Certificate of Waiver, Physician office05D2220592
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- Advanced Healthcare PharmacyCertificate of Waiver, Pharmacy05D2188715
- Alta Gardens Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0577163
- Alta Home Health Care Services IncCertificate of Waiver, Home health agency05D2283074
- Altamed Medical Group-Garden Grove HarborCertificate of Waiver, Community clinic05D1106763
- Bethel Medical Group, Inc.Certificate of Waiver, Physician office05D2147855
- Brookdale Garden GroveCertificate of Waiver, Assisted living facility05D2215464
- Brookdale Valley ViewCertificate of Waiver, Assisted living facility05D2215530
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Questions
What is the CLIA number for Garden Grove Convalescent in Garden Grove?
05D0666301, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Garden Grove Convalescent hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0666301 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.