CLIA lab

CLIA 05D2112659: Casa Capri Recovery

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

CLIA number 05D2112659 belongs to Casa Capri Recovery in Costa Mesa, CA.

Certificate of Waiver, effective May 21, 2026, expires May 20, 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
May 21, 2026
Certificate expiration
May 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 4, 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
05D2112659
Lab name
Casa Capri Recovery
Address
679 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.

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Related

Questions

What is the CLIA number for Casa Capri Recovery in Costa Mesa?

05D2112659, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Casa Capri Recovery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2112659 expire?

The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.

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