CLIA lab
CLIA 05D2042918: Providence Womens Center
Fullerton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2042918 belongs to Providence Womens Center in Fullerton, CA.
Certificate of Waiver, effective June 24, 2025, expires June 23, 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
- June 24, 2025
- Certificate expiration
- June 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 22, 2012
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2042918
- Lab name
- Providence Womens Center
- Address
- 101 Laguna Rd Suite 100, Fullerton, CA 92835
- Phone
- (714) 992-5350
- Fax
- (714) 992-8156
Annual test volume the lab reported
- Waived tests
- 2,000
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 Providence Womens Center in Fullerton?
05D2042918, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Womens Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2042918 expire?
The CMS file lists June 23, 2027 as the certificate expiration date; the certificate took effect June 24, 2025.