CLIA lab
CLIA 05D2112021: Casa Capri Recovery, LLC
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2112021 belongs to Casa Capri Recovery, LLC in Costa Mesa, CA.
Certificate of Waiver, effective April 20, 2026, expires April 19, 2028.
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
- April 20, 2026
- Certificate expiration
- April 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 2016
- 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
- 05D2112021
- Lab name
- Casa Capri Recovery, LLC
- Address
- 671 Governor St, Costa Mesa, CA 92627
- Phone
- (949) 381-9956
- Fax
- (949) 269-9218
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Casa Capri Recovery, LLC in Costa Mesa?
05D2112021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Casa Capri Recovery, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2112021 expire?
The CMS file lists April 19, 2028 as the certificate expiration date; the certificate took effect April 20, 2026.