CLIA lab
CLIA 05D2218068: Providence ST Jude
Anaheim Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2218068 belongs to Providence ST Jude in Anaheim Hills, CA.
Certificate of Waiver, effective March 25, 2025, expires March 24, 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
- March 25, 2025
- Certificate expiration
- March 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2021
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2218068
- Lab name
- Providence ST Jude
- Additional name
- Urgent Care Anaheim Hills
- Address
- 5630 E Santa Ana Canyon Rd, Anaheim Hills, CA 92808
- Phone
- (714) 257-6170
- Fax
- (714) 637-0212
Annual test volume the lab reported
- Waived tests
- 3,000
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 Providence ST Jude in Anaheim Hills?
05D2218068, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence ST Jude hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2218068 expire?
The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.