CLIA lab

CLIA 05D1014740: Costa Mesa Dialysis

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

CLIA number 05D1014740 belongs to Costa Mesa Dialysis in Costa Mesa, CA.

Certificate of Waiver, effective November 12, 2024, expires November 11, 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 12, 2024
Certificate expiration
November 11, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
July 15, 2003
Facility type
End stage renal disease dialysis facility
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
05D1014740
Lab name
Costa Mesa Dialysis
Address
1590 Scenic Ave, Costa Mesa, CA 92626
Phone
(714) 540-9401
Fax
(714) 540-9420

Annual test volume the lab reported

Waived tests
34,320

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Costa Mesa, CA

Related

Questions

What is the CLIA number for Costa Mesa Dialysis in Costa Mesa?

05D1014740, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Costa Mesa Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1014740 expire?

The CMS file lists November 11, 2026 as the certificate expiration date; the certificate took effect November 12, 2024.

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