CLIA lab
CLIA 05D2170908: Nellie Gail Urgent Care
Orange, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2170908 belongs to Nellie Gail Urgent Care in Orange, CA.
Certificate of Waiver, effective December 2, 2025, expires December 1, 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
- December 2, 2025
- Certificate expiration
- December 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2019
- 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
- 05D2170908
- Lab name
- Nellie Gail Urgent Care
- Address
- 315 South Tustin St, Orange, CA 92866
- Phone
- (949) 600-1907
- Fax
- (949) 600-1912
Annual test volume the lab reported
- Waived tests
- 500
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 Nellie Gail Urgent Care in Orange?
05D2170908, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Nellie Gail Urgent Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2170908 expire?
The CMS file lists December 1, 2027 as the certificate expiration date; the certificate took effect December 2, 2025.