CLIA lab
CLIA 05D0717353: Lake Forest Med Group Inc
Lake Forest, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0717353 belongs to Lake Forest Med Group Inc in Lake Forest, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 25, 2025, expires December 24, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- December 25, 2025
- Certificate expiration
- December 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 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
- 05D0717353
- Lab name
- Lake Forest Med Group Inc
- Address
- 24401 Muirlands Blvd Suite A, Lake Forest, CA 92630
- Phone
- (949) 770-1950
- Fax
- (949) 770-8599
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Forest, CA
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2136189
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2275646
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2285278
- Adel A Boutros, MDCertificate of Waiver, Physician office05D0897771
- Alcon LaboratoriesCertificate of Waiver, Other05D2279166
- Coastline EndocrinologyCertificate of Waiver, Physician office05D2338903
- Concentra Lake ForestCertificate of Waiver, Physician office05D0958933
- Foothill Gateway Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D1024936
- Foothill Surgical InstituteCertificate of Waiver, Ambulatory surgery center05D1030512
- Freedom Village Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0880891
Related
Questions
What is the CLIA number for Lake Forest Med Group Inc in Lake Forest?
05D0717353, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Forest Med Group Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0717353 expire?
The CMS file lists December 24, 2027 as the certificate expiration date; the certificate took effect December 25, 2025.