CLIA lab
CLIA 05D1104653: Cancer Center of Irvine
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1104653 belongs to Cancer Center of Irvine in Irvine, CA.
Certificate of Waiver, effective April 4, 2026, expires April 3, 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
- April 4, 2026
- Certificate expiration
- April 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 8, 2009
- 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
- 05D1104653
- Lab name
- Cancer Center of Irvine
- Address
- 16100 Sand Canyon Ave #130, Irvine, CA 92618
- Phone
- (949) 417-1100
- Fax
- (949) 417-1165
Annual test volume the lab reported
- Waived tests
- 400
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 Cancer Center of Irvine in Irvine?
05D1104653, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cancer Center of Irvine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1104653 expire?
The CMS file lists April 3, 2028 as the certificate expiration date; the certificate took effect April 4, 2026.