CLIA lab
CLIA 05D0990634: Providence Sunnycrest Family Medicine
Fullerton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0990634 belongs to Providence Sunnycrest Family Medicine in Fullerton, CA.
Certificate of Waiver, effective November 9, 2024, expires November 8, 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 9, 2024
- Certificate expiration
- November 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 28, 2001
- 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
- 05D0990634
- Lab name
- Providence Sunnycrest Family Medicine
- Address
- 1835 Sunnycrest Drive, Fullerton, CA 92835
- Phone
- (714) 446-5101
- Fax
- (714) 871-3006
Annual test volume the lab reported
- Waived tests
- 500
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 Sunnycrest Family Medicine in Fullerton?
05D0990634, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Sunnycrest Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0990634 expire?
The CMS file lists November 8, 2026 as the certificate expiration date; the certificate took effect November 9, 2024.