CLIA lab
CLIA 05D2068488: Scpmg Tustin Ranch Medical Office
Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2068488 belongs to Scpmg Tustin Ranch Medical Office in Tustin, CA.
Certificate of Waiver, effective September 28, 2026, expires September 27, 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
- September 28, 2026
- Certificate expiration
- September 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 5, 2013
- Facility type
- Health maintenance organization
- 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
- 05D2068488
- Lab name
- Scpmg Tustin Ranch Medical Office
- Address
- 2521 Michelle Dr, Tustin, CA 92780
- Phone
- (714) 430-2797
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Waived tests
- 700
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 Scpmg Tustin Ranch Medical Office in Tustin?
05D2068488, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Tustin Ranch Medical Office hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2068488 expire?
The CMS file lists September 27, 2028 as the certificate expiration date; the certificate took effect September 28, 2026.