CLIA lab
CLIA 05D2105799: Tustin Ranch Dialysis
Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2105799 belongs to Tustin Ranch Dialysis in Tustin, CA.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2015
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2105799
- Lab name
- Tustin Ranch Dialysis
- Address
- 721 W 1st St, Tustin, CA 92780
- Phone
- (714) 544-0079
- Fax
- (714) 544-0071
Annual test volume the lab reported
- Waived tests
- 21,528
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Tustin Ranch DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Tustin Ranch Dialysis in Tustin?
05D2105799, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tustin Ranch Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2105799 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.