CLIA lab

CLIA 05D2096172: Nellie Gail Urgent Care

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

CLIA number 05D2096172 belongs to Nellie Gail Urgent Care in Aliso Viejo, CA.

Certificate of Waiver, effective May 18, 2025, expires May 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 of Waiver
Certificate effective
May 18, 2025
Certificate expiration
May 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 18, 2015
Facility type
Ancillary test site
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
05D2096172
Lab name
Nellie Gail Urgent Care
Address
27001 Moulton Pkwy Ste A-102, Aliso Viejo, CA 92656
Phone
(949) 600-1907
Fax
(949) 600-1912

Annual test volume the lab reported

Waived tests
500

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

Other labs in Aliso Viejo, CA

Related

Questions

What is the CLIA number for Nellie Gail Urgent Care in Aliso Viejo?

05D2096172, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Nellie Gail Urgent Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2096172 expire?

The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.

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