CLIA lab
CLIA 05D2135441: Portola Direct Primary Care
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2135441 belongs to Portola Direct Primary Care in Irvine, CA.
Certificate of Waiver, effective August 22, 2025, expires August 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
- August 22, 2025
- Certificate expiration
- August 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2017
- 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
- 05D2135441
- Lab name
- Portola Direct Primary Care
- Address
- 1190 Roosevelt Suite 100, Irvine, CA 92620
- Phone
- (949) 346-4456
- Fax
- (888) 960-2821
Annual test volume the lab reported
- Waived tests
- 100
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 Portola Direct Primary Care in Irvine?
05D2135441, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Portola Direct Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2135441 expire?
The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.