CLIA lab
CLIA 05D1010073: Kathleen Emilie Gallaher MD
Villa Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1010073 belongs to Kathleen Emilie Gallaher MD in Villa Park, CA.
Certificate of Waiver, effective March 5, 2025, expires March 4, 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
- March 5, 2025
- Certificate expiration
- March 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 5, 2003
- 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
- 05D1010073
- Lab name
- Kathleen Emilie Gallaher MD
- Address
- 17871 Santiago Blvd,suite 206, Villa Park, CA 92861
- Phone
- (714) 998-3031
- Fax
- (714) 998-0084
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Villa Park, CA
Related
Questions
What is the CLIA number for Kathleen Emilie Gallaher MD in Villa Park?
05D1010073, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kathleen Emilie Gallaher MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1010073 expire?
The CMS file lists March 4, 2027 as the certificate expiration date; the certificate took effect March 5, 2025.