CLIA lab
CLIA 05D2106487: Providence Foothill Ranch
Foothill Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2106487 belongs to Providence Foothill Ranch in Foothill Ranch, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 18, 2025, expires December 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2015
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2106487
- Lab name
- Providence Foothill Ranch
- Address
- 26795 Portola Pkwy, Foothill Ranch, CA 92610
- Phone
- (657) 749-8892
Annual test volume the lab reported
- Waived tests
- 780
- Provider-performed microscopy tests
- 100
- Total
- 880
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Foothill Ranch, CA
- Bankd PC DBA Gameday Men's Health Rancho SantaCertificate of Accreditation, Physician office05D2315100
- Concentra - Oakley Foothill RanchCertificate of Waiver, Other05D2071490
- Genesis Ambulatory Surgery Center IncCertificate of Waiver, Physician office05D2009246
- Hoag ClinicCertificate of Waiver, Physician office05D2299839
- Hoag Health Center Foothill RanchCertificate of Waiver, Ancillary test site05D2284792
- Hoag Medical GroupCertificate of Waiver, Physician office05D2169056
- Hoag Medical GroupCertificate of Waiver, Physician office05D2169173
- Hoag Medical Group Foothill RanchCertificate of Waiver, Physician office05D2286870
- Hoag Urgent CareCertificate of Waiver, Physician office05D2168369
- Oc Pediatrics Medical Group IncCertificate of Waiver, Physician office05D2043619
Related
Questions
What is the CLIA number for Providence Foothill Ranch in Foothill Ranch?
05D2106487, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Foothill Ranch hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2106487 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.