CLIA lab

CLIA 05D0920700: Industricare Medical Clinic

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

CLIA number 05D0920700 belongs to Industricare Medical Clinic in Westminster, CA.

Certificate of Waiver, effective October 8, 2024, expiration date October 7, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 Waiver
Certificate effective
October 8, 2024
Certificate expiration
October 7, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 8, 1996
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
05D0920700
Lab name
Industricare Medical Clinic
Address
14281 Beach Blvd, Westminster, CA 92683
Phone
(714) 893-8800
Fax
(714) 893-8810

Annual test volume the lab reported

Waived tests
200

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 Industricare Medical Clinic in Westminster?

05D0920700, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Industricare Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0920700 expire?

The CMS file lists October 7, 2026 as the certificate expiration date; the certificate took effect October 8, 2024.

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