CLIA lab

CLIA 05D2121243: Acacia HH&P of Southern California, LLC

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

CLIA number 05D2121243 belongs to Acacia HH&P of Southern California, LLC in Fountain Valley, CA.

Certificate of Waiver, effective March 12, 2026, expires March 11, 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
March 12, 2026
Certificate expiration
March 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
November 1, 2016
Facility type
Home health agency
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
05D2121243
Lab name
Acacia HH&P of Southern California, LLC
Address
11770 Warner Ave Ste 102, Fountain Valley, CA 92708
Phone
(949) 335-5515
Fax
(949) 335-5519

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Fountain Valley, CA

Related

Questions

What is the CLIA number for Acacia HH&P of Southern California, LLC in Fountain Valley?

05D2121243, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Acacia HH&P of Southern California, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2121243 expire?

The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.

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