CLIA lab

CLIA 05D1102490: Mobisurg, Inc

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

CLIA number 05D1102490 belongs to Mobisurg, Inc in Laguna Hills, CA.

Certificate of Waiver, effective July 20, 2025, expires July 19, 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 20, 2025
Certificate expiration
July 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 20, 2009
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
05D1102490
Lab name
Mobisurg, Inc
Additional name
DBA Pediatric and Specialty Surgery Center
Address
23025 Mill Creek Dr, Laguna Hills, CA 92653
Phone
(949) 367-0800
Fax
(949) 313-7858

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Mobisurg, Inc in Laguna Hills?

05D1102490, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mobisurg, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1102490 expire?

The CMS file lists July 19, 2027 as the certificate expiration date; the certificate took effect July 20, 2025.

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