CLIA lab
CLIA 05D2104660: Portola Medical Services, PC
Laguna Niguel, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2104660 belongs to Portola Medical Services, PC in Laguna Niguel, CA.
Certificate of Waiver, effective November 10, 2025, expires November 9, 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
- November 10, 2025
- Certificate expiration
- November 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 10, 2015
- Facility type
- Other
- 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
- 05D2104660
- Lab name
- Portola Medical Services, PC
- Address
- 25461 Rancho Niguel Road, Laguna Niguel, CA 92677
- Phone
- (844) 254-6382
- Fax
- (949) 535-1109
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 Portola Medical Services, PC in Laguna Niguel?
05D2104660, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Portola Medical Services, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2104660 expire?
The CMS file lists November 9, 2027 as the certificate expiration date; the certificate took effect November 10, 2025.