CLIA lab
CLIA 05D2230306: Upper Echelon Medical
Fullerton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2230306 belongs to Upper Echelon Medical in Fullerton, CA.
Certificate of Waiver, effective July 21, 2025, expires July 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
- July 21, 2025
- Certificate expiration
- July 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 21, 2021
- 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
- 05D2230306
- Lab name
- Upper Echelon Medical
- Address
- 1440 N Harbor Blvd Suite 110, Fullerton, CA 92835
- Phone
- (651) 212-3212
Annual test volume the lab reported
- Waived tests
- 1,000
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 Upper Echelon Medical in Fullerton?
05D2230306, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Upper Echelon Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2230306 expire?
The CMS file lists July 20, 2027 as the certificate expiration date; the certificate took effect July 21, 2025.