CLIA lab
CLIA 05D2041164: Delgado Protocol, Inc.
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2041164 belongs to Delgado Protocol, Inc. in Costa Mesa, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 18, 2025, expires December 17, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 2012
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 05D2041164
- Lab name
- Delgado Protocol, Inc.
- Address
- 711 W 17th St, Suite H-7, Costa Mesa, CA 92627
- Phone
- (949) 720-1554
- Fax
- (949) 666-5134
Annual test volume the lab reported
- Waived tests
- 300
- Provider-performed microscopy tests
- 1,200
- Total
- 1,500
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 Delgado Protocol, Inc. in Costa Mesa?
05D2041164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delgado Protocol, Inc. hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2041164 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.