CLIA lab
CLIA 05D2105279: Breakaway Health Corporation
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2105279 belongs to Breakaway Health Corporation in Costa Mesa, CA.
Certificate of Waiver, effective November 23, 2025, expires November 22, 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 23, 2025
- Certificate expiration
- November 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2015
- Facility type
- Comprehensive outpatient rehab facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2105279
- Lab name
- Breakaway Health Corporation
- Address
- 3151 Airway Ave Ste D1, Costa Mesa, CA 92626
- Phone
- (714) 957-8229
- Fax
- (714) 957-0244
Annual test volume the lab reported
- Waived tests
- 3,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Costa Mesa, CA
- 3 Alpha Labs, LLCCertificate of Registration, Independent05D2338068
- Above All Else Recovery LLCCertificate of Waiver, Other05D2350429
- Above All Else Recovery LLCCertificate of Waiver, Other05D2350483
- Above All Else Recovery LLCCertificate of Waiver, Other05D2350485
- Above All Else Recovery LLCCertificate of Waiver, Other05D2350489
- Acera Health, LLCCertificate of Waiver, Comprehensive outpatient rehab facility05D2274684
- Acera Health, LLCCertificate of Waiver, Other05D2274687
- Acera Health,llcCertificate of Waiver, Comprehensive outpatient rehab facility05D2274676
- Advantage Health SystemsCertificate of Waiver, Home health agency05D2038432
- Advantage Health SystemsCertificate of Waiver, Hospice05D2123121
Related
Questions
What is the CLIA number for Breakaway Health Corporation in Costa Mesa?
05D2105279, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Breakaway Health Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2105279 expire?
The CMS file lists November 22, 2027 as the certificate expiration date; the certificate took effect November 23, 2025.