CLIA lab
CLIA 05D1071470: Jaclynn DO MD Inc
Westminster, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1071470 belongs to Jaclynn DO MD Inc in Westminster, CA.
Certificate of Waiver, effective July 26, 2025, expires July 25, 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 26, 2025
- Certificate expiration
- July 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 26, 2007
- 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
- 05D1071470
- Lab name
- Jaclynn DO MD Inc
- Address
- 8070 Westminster Blvd Ste A, Westminster, CA 92683
- Phone
- (714) 899-9898
- Fax
- (714) 316-1389
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- DNX Medical DBA Anhtuan Nguyen MDCertificate of Waiver, Physician office05D2111821
- Dao B Nguyen MDCertificate of Waiver, Physician office05D0972197
Related
Questions
What is the CLIA number for Jaclynn DO MD Inc in Westminster?
05D1071470, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jaclynn DO MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1071470 expire?
The CMS file lists July 25, 2027 as the certificate expiration date; the certificate took effect July 26, 2025.