CLIA lab
CLIA 05D0904255: Memorialcare Medical Group
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0904255 belongs to Memorialcare Medical Group in Irvine, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 14, 2025, expires December 13, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 14, 2025
- Certificate expiration
- December 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 1995
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0904255
- Lab name
- Memorialcare Medical Group
- Address
- 14150 Culver Dr, Irvine, CA 92604
- Phone
- (949) 552-4584
- Fax
- (949) 551-5612
Annual test volume the lab reported
- Waived tests
- 400
- Provider-performed microscopy tests
- 150
- Total
- 550
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 Memorialcare Medical Group in Irvine?
05D0904255, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorialcare Medical Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0904255 expire?
The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.