CLIA lab
CLIA 05D1024936: Foothill Gateway Surgery Center LLC
Lake Forest, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1024936 belongs to Foothill Gateway Surgery Center LLC in Lake Forest, CA.
Certificate of Waiver, effective April 26, 2026, expires April 25, 2028.
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
- April 26, 2026
- Certificate expiration
- April 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2004
- Facility type
- Ambulatory surgery center
- 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
- 05D1024936
- Lab name
- Foothill Gateway Surgery Center LLC
- Address
- 29300 Portola Parkway Suite A, Lake Forest, CA 92630
- Phone
- (949) 305-3913
- Fax
- (949) 716-2892
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Forest, CA
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2136189
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2275646
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2285278
- Adel A Boutros, MDCertificate of Waiver, Physician office05D0897771
- Alcon LaboratoriesCertificate of Waiver, Other05D2279166
- Coastline EndocrinologyCertificate of Waiver, Physician office05D2338903
- Concentra Lake ForestCertificate of Waiver, Physician office05D0958933
- Foothill Surgical InstituteCertificate of Waiver, Ambulatory surgery center05D1030512
- Freedom Village Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0880891
- Genomic Testing CooperativeCertificate of Accreditation, Independent05D2111917
Related
Questions
What is the CLIA number for Foothill Gateway Surgery Center LLC in Lake Forest?
05D1024936, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Foothill Gateway Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1024936 expire?
The CMS file lists April 25, 2028 as the certificate expiration date; the certificate took effect April 26, 2026.