CLIA lab
CLIA 05D2214710: Hsre-Kisco I TRS, LLC
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2214710 belongs to Hsre-Kisco I TRS, LLC in Irvine, CA.
Certificate of Waiver, effective February 24, 2025, expires February 23, 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
- February 24, 2025
- Certificate expiration
- February 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 2021
- Facility type
- Assisted living facility
- 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
- 05D2214710
- Lab name
- Hsre-Kisco I TRS, LLC
- Additional name
- DBA Woodbridge Terrace
- Address
- 1 Witherspoon, Irvine, CA 92604
- Phone
- (760) 804-5900
Annual test volume the lab reported
- Waived tests
- 1,500
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 Hsre-Kisco I TRS, LLC in Irvine?
05D2214710, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hsre-Kisco I TRS, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2214710 expire?
The CMS file lists February 23, 2027 as the certificate expiration date; the certificate took effect February 24, 2025.