CLIA lab

CLIA 05D2057674: Health and Wellness Center Inc

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

CLIA number 05D2057674 belongs to Health and Wellness Center Inc in Lake Forest, CA.

Certificate of Waiver, effective April 22, 2025, expires April 21, 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
April 22, 2025
Certificate expiration
April 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 22, 2013
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
05D2057674
Lab name
Health and Wellness Center Inc
Address
23672 Birtcher Dr Unit A, Lake Forest, CA 92630
Phone
(949) 770-7301
Fax
(949) 770-0634

Annual test volume the lab reported

Waived tests
300

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

Affiliated CLIA numbers

Other labs in Lake Forest, CA

Related

Questions

What is the CLIA number for Health and Wellness Center Inc in Lake Forest?

05D2057674, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Health and Wellness Center Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2057674 expire?

The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.

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