CLIA lab

CLIA 05D2169173: Hoag Medical Group

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

CLIA number 05D2169173 belongs to Hoag Medical Group in Foothill Ranch, CA.

Certificate of Waiver, effective July 16, 2025, expires July 15, 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
July 16, 2025
Certificate expiration
July 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 16, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2169173
Lab name
Hoag Medical Group
Address
26672 Portola Parkway, Ste 104, Foothill Ranch, CA 92610
Phone
(949) 791-3065
Fax
(949) 791-3074

Annual test volume the lab reported

Waived tests
20,000

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

Affiliated CLIA numbers

Other labs in Foothill Ranch, CA

Related

Questions

What is the CLIA number for Hoag Medical Group in Foothill Ranch?

05D2169173, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hoag Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2169173 expire?

The CMS file lists July 15, 2027 as the certificate expiration date; the certificate took effect July 16, 2025.

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