CLIA lab

CLIA 05D0707692: Central City Community

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

CLIA number 05D0707692 belongs to Central City Community in Garden Grove, CA.

Certificate of Waiver, effective December 13, 2024, expires December 12, 2026.

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
December 13, 2024
Certificate expiration
December 12, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 12, 1993
Facility type
Federally qualified health center
Ownership (control type)
Other
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
05D0707692
Lab name
Central City Community
Additional name
Health Center, Inc
Address
12511 Brookhurst St, Garden Grove, CA 92840
Phone
(714) 643-7176
Fax
(714) 643-7180

Annual test volume the lab reported

Waived tests
9,000

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

Other labs in Garden Grove, CA

Related

Questions

What is the CLIA number for Central City Community in Garden Grove?

05D0707692, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Central City Community hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0707692 expire?

The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.

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