CLIA lab
CLIA 05D0991875: Memorial Research Medical Clinic
Lake Forest, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0991875 belongs to Memorial Research Medical Clinic in Lake Forest, CA.
Certificate of Waiver, effective October 1, 2025, expires September 30, 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
- October 1, 2025
- Certificate expiration
- September 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2001
- 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
- 05D0991875
- Lab name
- Memorial Research Medical Clinic
- Additional name
- Orange County Research Center
- Address
- 25381 Commercentre Dr, Lake Forest, CA 92630
- Phone
- (714) 550-9990
- Fax
- (714) 210-6634
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 Memorial Research Medical Clinic in Lake Forest?
05D0991875, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Research Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0991875 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.