CLIA lab
CLIA 05D2196081: Proactive Work Health Services
Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2196081 belongs to Proactive Work Health Services in Garden Grove, CA.
Certificate of Waiver, effective October 14, 2024, expiration date October 13, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 14, 2024
- Certificate expiration
- October 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 14, 2020
- 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
- 05D2196081
- Lab name
- Proactive Work Health Services
- Address
- 12828 Harbor Blvd #200, Garden Grove, CA 92840
- Phone
- (714) 635-7000
- Fax
- (714) 638-2800
Annual test volume the lab reported
- Waived tests
- 250
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 Proactive Work Health Services in Garden Grove?
05D2196081, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive Work Health Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2196081 expire?
The CMS file lists October 13, 2026 as the certificate expiration date; the certificate took effect October 14, 2024.