CLIA lab

CLIA 05D0712088: Fred Galluccio MD & Assoc Inc

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

CLIA number 05D0712088 belongs to Fred Galluccio MD & Assoc Inc in Newport Beach, CA.

Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
November 9, 1993
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
05D0712088
Lab name
Fred Galluccio MD & Assoc Inc
Address
901 Dover Drive Suite 102, Newport Beach, CA 92660
Phone
(949) 646-4865
Fax
(949) 646-7716

Annual test volume the lab reported

Waived tests
7,100

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

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Related

Questions

What is the CLIA number for Fred Galluccio MD & Assoc Inc in Newport Beach?

05D0712088, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fred Galluccio MD & Assoc Inc hold?

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

When does CLIA 05D0712088 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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