CLIA lab

CLIA 05D2221482: Casa Capri Recovery LLC

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

CLIA number 05D2221482 belongs to Casa Capri Recovery LLC in Costa Mesa, CA.

Certificate of Waiver, effective April 21, 2025, expires April 20, 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
April 21, 2025
Certificate expiration
April 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 21, 2021
Facility type
Other
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
05D2221482
Lab name
Casa Capri Recovery LLC
Address
675 Governor St, Costa Mesa, CA 92627
Phone
(949) 381-9956
Fax
(949) 269-9218

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Costa Mesa, CA

Related

Questions

What is the CLIA number for Casa Capri Recovery LLC in Costa Mesa?

05D2221482, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Casa Capri Recovery LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2221482 expire?

The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.

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