CLIA lab

CLIA 05D2172761: Altamed Medical and Dental Group

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

CLIA number 05D2172761 belongs to Altamed Medical and Dental Group in Anaheim, CA.

Certificate for Provider-Performed Microscopy Procedures, effective September 30, 2025, expires September 29, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 30, 2025
Certificate expiration
September 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2019
Facility type
Federally qualified health center
Ownership (control type)
Other
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
05D2172761
Lab name
Altamed Medical and Dental Group
Additional name
#name?
Address
1325 N Anaheim Blvd, Ste 200, Anaheim, CA 92801
Phone
(714) 399-4905
Fax
(714) 507-1476

Annual test volume the lab reported

Waived tests
720
Provider-performed microscopy tests
720
Total
1,440

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 Altamed Medical and Dental Group in Anaheim?

05D2172761, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Altamed Medical and Dental Group hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2172761 expire?

The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.

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