CLIA lab
CLIA 05D1058795: Mary S Jung, MD Inc
Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1058795 belongs to Mary S Jung, MD Inc in Tustin, CA.
Certificate of Compliance, effective August 15, 2025, expires August 14, 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 Compliance
- Certificate effective
- August 15, 2025
- Certificate expiration
- August 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2006
- 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
- 05D1058795
- Lab name
- Mary S Jung, MD Inc
- Address
- 17601 E 17th Street, Ste 110, Tustin, CA 92780
- Phone
- (714) 790-0005
- Fax
- (714) 699-2444
Annual test volume the lab reported
- Other nonwaived tests
- 255
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alyssa Youngjee Kim, MDCertificate of Compliance, Physician office05D0946552
- Americana Adult Day CenterCertificate of Waiver, Other05D2265453
- Angenida Hospice LLCCertificate of Waiver, Hospice05D2203465
- Apex Health Providers DBA Afc Urgent Care TustinCertificate of Waiver, Other05D2325752
- Bambhania Medical CorporationCertificate of Waiver, Physician office05D2166376
- CK Family Therapy and Counseling Services, PCCertificate of Waiver, Other05D2332117
- Ccts Shared LaboratoryCertificate of Waiver, Physician office05D0578793
- Connections Menatal HealthCertificate of Waiver, Other05D2303810
- Cornerstone of Southern CaliforniaCertificate of Waiver, Other05D2083439
Related
Questions
What is the CLIA number for Mary S Jung, MD Inc in Tustin?
05D1058795, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary S Jung, MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1058795 expire?
The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.