CLIA lab
CLIA 05D0961801: Providence Medical Foundation
Laguna Niguel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0961801 belongs to Providence Medical Foundation in Laguna Niguel, CA.
Certificate of Waiver, effective June 23, 2026, expires June 22, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 23, 2026
- Certificate expiration
- June 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 1999
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D0961801
- Lab name
- Providence Medical Foundation
- Address
- 32341 Golden Lantern Street, Suite D, Laguna Niguel, CA 92677
- Phone
- (949) 363-9595
- Fax
- (949) 363-7055
Annual test volume the lab reported
- Waived tests
- 3,100
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 Providence Medical Foundation in Laguna Niguel?
05D0961801, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0961801 expire?
The CMS file lists June 22, 2028 as the certificate expiration date; the certificate took effect June 23, 2026.