CLIA lab
CLIA 05D0932112: Providence Santa Ana Facility
Santa Ana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0932112 belongs to Providence Santa Ana Facility in Santa Ana, CA.
Certificate of Waiver, effective December 10, 2025, expires December 9, 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 Waiver
- Certificate effective
- December 10, 2025
- Certificate expiration
- December 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 1997
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0932112
- Lab name
- Providence Santa Ana Facility
- Address
- 2212 E 4th St, Santa Ana, CA 92705
- Phone
- (714) 288-3230
- Fax
- (714) 571-7710
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Santa Ana, CA
- 360 Adult Daycare CenterCertificate of Waiver, Other practitioner05D2276587
- 3730 S Greenville Street Opco LLCCertificate of Waiver, Assisted living facility05D2323777
- A Plus PediatricsCertificate of Waiver, Physician office05D2337416
- A1care PharmacyCertificate of Waiver, Pharmacy05D2313016
- Abc Santa Ana Day Health CenterCertificate of Waiver, Other05D2152269
- Advance Oc SurgicalCertificate of Waiver, Ambulatory surgery center05D2225991
- Advance Urgent Medical Group IncCertificate of Waiver, Physician office05D1093623
- Advanced Biomedical, IncCertificate of Compliance, Independent05D0580198
- Advanced Rehab Center of TustinCertificate of Waiver, Skilled nursing or nursing facility05D0885611
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D0861479
Related
Questions
What is the CLIA number for Providence Santa Ana Facility in Santa Ana?
05D0932112, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Santa Ana Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0932112 expire?
The CMS file lists December 9, 2027 as the certificate expiration date; the certificate took effect December 10, 2025.