CLIA lab
CLIA 05D2028485: Bette M. Carlson, M.D.
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2028485 belongs to Bette M. Carlson, M.D. in Costa Mesa, CA.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2011
- 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
- 05D2028485
- Lab name
- Bette M. Carlson, M.D.
- Address
- 1190 Baker Street, Ste 103, Costa Mesa, CA 92626
- Phone
- (714) 668-2525
- Fax
- (714) 668-2530
Annual test volume the lab reported
- Waived tests
- 1,550
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 Bette M. Carlson, M.D. in Costa Mesa?
05D2028485, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bette M. Carlson, M.D. hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2028485 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.