CLIA lab
CLIA 05D0891062: Bolsa Medical Group
Westminster, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0891062 belongs to Bolsa Medical Group in Westminster, CA.
Certificate of Waiver, effective May 2, 2026, expires May 1, 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
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 of Waiver
- Certificate effective
- May 2, 2026
- Certificate expiration
- May 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 1994
- Facility type
- Other practitioner
- 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
- 05D0891062
- Lab name
- Bolsa Medical Group
- Address
- 10362 Bolsa Avenue, Westminster, CA 92683
- Phone
- (714) 531-2091
- Fax
- (714) 531-1403
Annual test volume the lab reported
- Waived tests
- 32,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Westminster, CA
- Abc Westminster Day Health Center Magnolia AdhcCertificate of Waiver, Other05D1013727
- Allianz Research Institute, IncCertificate of Waiver, Health maintenance organization05D2024312
- Americade Home Health AgencyCertificate of Waiver, Home health agency05D0887572
- Amg A Professional Medical CorporationCertificate of Waiver, Physician office05D2345802
- Bolsa Outpatient Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1006732
- Brookdale BrookhurstCertificate of Waiver, Assisted living facility05D2212234
- County of Orange Health Care AgencyCertificate of Waiver, Community clinic05D2288694
- DNX Medical DBA Anhtuan Nguyen MDCertificate of Waiver, Physician office05D2111821
- Dao B Nguyen MDCertificate of Waiver, Physician office05D0972197
- Dat M Nguyen MDCertificate of Waiver, Physician office05D0580044
Related
Questions
What is the CLIA number for Bolsa Medical Group in Westminster?
05D0891062, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bolsa Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0891062 expire?
The CMS file lists May 1, 2028 as the certificate expiration date; the certificate took effect May 2, 2026.