CLIA lab

CLIA 05D2005557: Judy Bourget, MD Inc

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

CLIA number 05D2005557 belongs to Judy Bourget, MD Inc in Dana Point, CA.

Certificate of Waiver, effective March 30, 2026, expires March 29, 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
March 30, 2026
Certificate expiration
March 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 30, 2010
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
05D2005557
Lab name
Judy Bourget, MD Inc
Address
34052 La Plaza, Suite # 104, Dana Point, CA 92629
Phone
(949) 429-8760
Fax
(949) 429-6909

Annual test volume the lab reported

Waived tests
900

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

Other labs in Dana Point, CA

Related

Questions

What is the CLIA number for Judy Bourget, MD Inc in Dana Point?

05D2005557, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Judy Bourget, MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2005557 expire?

The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.

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