CLIA lab
CLIA 05D1022544: Providence Home Health
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1022544 belongs to Providence Home Health in Irvine, CA.
Certificate of Waiver, effective July 11, 2025, expires July 10, 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
- July 11, 2025
- Certificate expiration
- July 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 2004
- Facility type
- Home health agency
- Ownership (control type)
- Other
- 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
- 05D1022544
- Lab name
- Providence Home Health
- Additional name
- Orange County South
- Address
- 38 Executive Park Ste 390, Irvine, CA 92614
- Phone
- (714) 975-8011
- Fax
- (714) 975-8023
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Providence at Home With Compassus Home Health, Orange County SouthCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Providence Home Health in Irvine?
05D1022544, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Home Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1022544 expire?
The CMS file lists July 10, 2027 as the certificate expiration date; the certificate took effect July 11, 2025.