CLIA lab

CLIA 05D2095416: Lori's Home

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

CLIA number 05D2095416 belongs to Lori's Home in Mission Viejo, CA.

Certificate of Waiver, effective May 6, 2025, expires May 5, 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
May 6, 2025
Certificate expiration
May 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 2015
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
05D2095416
Lab name
Lori's Home
Address
24402 Aphena Ave, Mission Viejo, CA 92691
Phone
(949) 510-5342
Fax
(949) 748-5199

Annual test volume the lab reported

Waived tests
3,552

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

Other labs in Mission Viejo, CA

Related

Questions

What is the CLIA number for Lori's Home in Mission Viejo?

05D2095416, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lori's Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2095416 expire?

The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.

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