CLIA lab
CLIA 05D1014199: Southern Orange County Pediatrics Assoc
Ladera Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1014199 belongs to Southern Orange County Pediatrics Assoc in Ladera Ranch, CA.
Certificate of Waiver, effective June 27, 2025, expires June 26, 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
- June 27, 2025
- Certificate expiration
- June 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 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
- 05D1014199
- Lab name
- Southern Orange County Pediatrics Assoc
- Address
- 777 Corporate Drive Suite 250, Ladera Ranch, CA 92694
- Phone
- (949) 388-1798
- Fax
- (949) 388-6495
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ladera Ranch, CA
- Coastal Hills DermatologyCertificate of Compliance, Physician office05D2094986
- Dermatology Center at Ladera IncCertificate of Compliance, Physician office05D1036647
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D1013480
- Kelly E Fordyee MD IncCertificate of Waiver, Physician office05D2247738
- Memorialcare Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2145199
- Ocean PediatricsCertificate of Waiver, Physician office05D2319526
- Orange County Childrens Medical Group IncCertificate of Waiver, Physician office05D1106075
- Orchards HC LLC, theCertificate of Waiver, Skilled nursing or nursing facility05D2216174
- Providence Mission Health CenterCertificate of Waiver, Physician office05D2342600
- Raef M Elsanadi MD IncCertificate of Waiver, Physician office05D0970605
Related
Questions
What is the CLIA number for Southern Orange County Pediatrics Assoc in Ladera Ranch?
05D1014199, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Orange County Pediatrics Assoc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1014199 expire?
The CMS file lists June 26, 2027 as the certificate expiration date; the certificate took effect June 27, 2025.