CLIA lab
CLIA 05D2210756: Coastal Hospice of Socal Inc
Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2210756 belongs to Coastal Hospice of Socal Inc in Garden Grove, CA.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2021
- Facility type
- Hospice
- 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
- 05D2210756
- Lab name
- Coastal Hospice of Socal Inc
- Address
- 12465 Lewis Streetm Suite 206, Garden Grove, CA 92840
- Phone
- (714) 705-4375
- Fax
- (714) 705-4382
Annual test volume the lab reported
- Waived tests
- 100
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 Coastal Hospice of Socal Inc in Garden Grove?
05D2210756, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Hospice of Socal Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2210756 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.