CLIA lab

CLIA 05D1100527: Internal Medicine Associates of Sand Canyon

Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1100527 belongs to Internal Medicine Associates of Sand Canyon in Irvine, CA.

Certificate of Waiver, effective December 5, 2025, expires December 4, 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
December 5, 2025
Certificate expiration
December 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 8, 2009
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1100527
Lab name
Internal Medicine Associates of Sand Canyon
Address
113 Waterworks Way Ste 250, Irvine, CA 92618
Phone
(949) 753-1522
Fax
(949) 753-6075

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Irvine, CA

Related

Questions

What is the CLIA number for Internal Medicine Associates of Sand Canyon in Irvine?

05D1100527, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Internal Medicine Associates of Sand Canyon hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1100527 expire?

The CMS file lists December 4, 2027 as the certificate expiration date; the certificate took effect December 5, 2025.

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