CLIA lab
CLIA 05D2010495: Miguel A Dominguez, MD Inc
Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2010495 belongs to Miguel A Dominguez, MD Inc in Tustin, CA.
Certificate of Waiver, effective July 29, 2026, expires July 28, 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
- July 29, 2026
- Certificate expiration
- July 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2010495
- Lab name
- Miguel A Dominguez, MD Inc
- Address
- 18102 Irvine Blvd Ste 208, Tustin, CA 92780
- Phone
- (714) 371-9000
- Fax
- (714) 730-2720
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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- Apex Health Providers DBA Afc Urgent Care TustinCertificate of Waiver, Other05D2325752
- Bambhania Medical CorporationCertificate of Waiver, Physician office05D2166376
- CK Family Therapy and Counseling Services, PCCertificate of Waiver, Other05D2332117
- Ccts Shared LaboratoryCertificate of Waiver, Physician office05D0578793
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Related
Questions
What is the CLIA number for Miguel A Dominguez, MD Inc in Tustin?
05D2010495, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Miguel A Dominguez, MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2010495 expire?
The CMS file lists July 28, 2028 as the certificate expiration date; the certificate took effect July 29, 2026.