CLIA lab

CLIA 05D0962699: Providence Batavia Woods

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

CLIA number 05D0962699 belongs to Providence Batavia Woods in Orange, CA.

Certificate of Waiver, effective November 15, 2024, expires November 14, 2026.

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
November 15, 2024
Certificate expiration
November 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
July 12, 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
05D0962699
Lab name
Providence Batavia Woods
Address
845 W La Veta Suite 108, Orange, CA 92869
Phone
(714) 639-2600
Fax
(714) 289-3906

Annual test volume the lab reported

Waived tests
2,000

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 Batavia Woods in Orange?

05D0962699, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Batavia Woods hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0962699 expire?

The CMS file lists November 14, 2026 as the certificate expiration date; the certificate took effect November 15, 2024.

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