CLIA lab
CLIA 05D0896423: Jay Applebaum MD Inc
Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0896423 belongs to Jay Applebaum MD Inc in Tustin, CA.
Certificate of Compliance, effective August 21, 2025, expires August 20, 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
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Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 1995
- 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
- 05D0896423
- Lab name
- Jay Applebaum MD Inc
- Address
- 17601 E 17th St, Ste 110, Tustin, CA 92780
- Phone
- (714) 790-0005
- Fax
- (714) 699-2444
Annual test volume the lab reported
- Other nonwaived tests
- 491
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Americana Adult Day CenterCertificate of Waiver, Other05D2265453
- Angenida Hospice LLCCertificate of Waiver, Hospice05D2203465
- Apex Health Providers DBA Afc Urgent Care TustinCertificate of Waiver, Other05D2325752
- Bambhania Medical CorporationCertificate of Waiver, Physician office05D2166376
- CK Family Therapy and Counseling Services, PCCertificate of Waiver, Other05D2332117
- Ccts Shared LaboratoryCertificate of Waiver, Physician office05D0578793
- Connections Menatal HealthCertificate of Waiver, Other05D2303810
- Cornerstone of Southern CaliforniaCertificate of Waiver, Other05D2083439
Related
Questions
What is the CLIA number for Jay Applebaum MD Inc in Tustin?
05D0896423, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jay Applebaum MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0896423 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.