CLIA lab
CLIA 05D1106763: Altamed Medical Group-Garden Grove Harbor
Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1106763 belongs to Altamed Medical Group-Garden Grove Harbor in Garden Grove, CA.
Certificate of Waiver, effective October 21, 2025, expires October 20, 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
- October 21, 2025
- Certificate expiration
- October 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2009
- Facility type
- Community clinic
- Ownership (control type)
- Other
- 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
- 05D1106763
- Lab name
- Altamed Medical Group-Garden Grove Harbor
- Address
- 12751 Harbor Blvd, Garden Grove, CA 92840
- Phone
- (714) 636-7852
- Fax
- (714) 620-8383
Annual test volume the lab reported
- Waived tests
- 24
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brookdale Garden GroveCertificate of Waiver, Assisted living facility05D2215464
- Brookdale Valley ViewCertificate of Waiver, Assisted living facility05D2215530
- Cal Optima PaceCertificate of Waiver, Other05D2058114
Related
Questions
What is the CLIA number for Altamed Medical Group-Garden Grove Harbor in Garden Grove?
05D1106763, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Altamed Medical Group-Garden Grove Harbor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1106763 expire?
The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.