CLIA lab

CLIA 05D2109085: Capri Medical Group

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

CLIA number 05D2109085 belongs to Capri Medical Group in Irvine, CA.

Certificate of Waiver, effective September 1, 2025, expires August 31, 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
September 1, 2025
Certificate expiration
August 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 18, 2016
Facility type
Physician office
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
05D2109085
Lab name
Capri Medical Group
Address
16300 Sand Canyon Ave, #888, Irvine, CA 92618
Phone
(949) 825-6908
Fax
(949) 825-6907

Annual test volume the lab reported

Waived tests
7,000

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 Capri Medical Group in Irvine?

05D2109085, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Capri Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2109085 expire?

The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.

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