CLIA lab
CLIA 05D2140422: Renaissance Recovery, LLC
Fountain Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2140422 belongs to Renaissance Recovery, LLC in Fountain Valley, CA.
Certificate of Waiver, effective November 21, 2025, expires November 20, 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
- November 21, 2025
- Certificate expiration
- November 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 21, 2017
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2140422
- Lab name
- Renaissance Recovery, LLC
- Address
- 10175 Slater Ave, Ste 200, Fountain Valley, CA 92708
- Phone
- (702) 354-6413
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fountain Valley, CA
- Acacia HH&P of Southern California, LLCCertificate of Waiver, Home health agency05D2121243
- Acacia Hospice and Palliative ServicesCertificate of Waiver, Hospice05D2104659
- Ahmed Alsadek, M.D., IncCertificate of Waiver, Physician office05D2305500
- Ajit S Sawhney, MDCertificate of Waiver, Physician office05D2120988
- Alliance Hospice & Palliative Care IncCertificate of Waiver, Hospice05D2127225
- Ark Clinical Research, LLCCertificate of Waiver, Physician office05D2230389
- Asana Recovery - MagnoliaCertificate of Waiver, Other05D2260331
- Best Golden Care Hospice IncCertificate of Waiver, Hospice05D2059165
- Bio Path Medical Group IncCertificate of Compliance, Independent05D0914742
- Bio-Path Medical Group IncCertificate of Compliance, Independent05D0974660
Related
Questions
What is the CLIA number for Renaissance Recovery, LLC in Fountain Valley?
05D2140422, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Renaissance Recovery, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2140422 expire?
The CMS file lists November 20, 2027 as the certificate expiration date; the certificate took effect November 21, 2025.