CLIA lab
CLIA 05D1031189: Memorialcare Medical Group
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1031189 belongs to Memorialcare Medical Group in San Clemente, CA.
Certificate of Waiver, effective September 27, 2026, expires September 26, 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
- September 27, 2026
- Certificate expiration
- September 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2004
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D1031189
- Lab name
- Memorialcare Medical Group
- Address
- 638 Camino De Los Mares Ste D4, San Clemente, CA 92673
- Phone
- (949) 240-7023
- Fax
- (949) 240-7036
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Green Dermatologic Medical GroupCertificate of Compliance, Physician office05D0934428
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- Hoag ClinicCertificate of Waiver, Physician office05D2193830
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Related
Questions
What is the CLIA number for Memorialcare Medical Group in San Clemente?
05D1031189, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorialcare Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1031189 expire?
The CMS file lists September 26, 2028 as the certificate expiration date; the certificate took effect September 27, 2026.