CLIA lab
CLIA 05D2123912: South Coast Behavioral Health
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2123912 belongs to South Coast Behavioral Health in Costa Mesa, CA.
Certificate of Waiver, effective April 22, 2025, expires April 21, 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
- April 22, 2025
- Certificate expiration
- April 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2017
- 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
- 05D2123912
- Lab name
- South Coast Behavioral Health
- Address
- 559 Pierpont Dr, Costa Mesa, CA 92626
- Phone
- (714) 556-2112
- Fax
- (714) 556-0120
Annual test volume the lab reported
- Waived tests
- 8,000
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 South Coast Behavioral Health in Costa Mesa?
05D2123912, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Coast Behavioral Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2123912 expire?
The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.