CLIA lab
CLIA 05D2241022: Fashion Island Surgery Center
Newport Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2241022 belongs to Fashion Island Surgery Center in Newport Beach, CA.
Certificate of Waiver, effective October 25, 2025, expires October 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
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2021
- Facility type
- Ambulatory surgery center
- 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
- 05D2241022
- Lab name
- Fashion Island Surgery Center
- Address
- 1441 Avocado Ave Ste #100, Newport Beach, CA 92660
- Phone
- (949) 209-5960
- Fax
- (949) 209-5961
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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- Adam M Rotunda MDCertificate of Compliance, Physician office05D1089291
- Advanced Care Medical IncCertificate of Waiver, Physician office05D0578307
- Advanced DermatologyCertificate of Compliance, Physician office05D1075013
- Akua Mind & Body IncCertificate of Waiver, Other05D2101292
- Ame Healthcare Group LLC DBA Vita Nova at NewportCertificate of Waiver, Ancillary test site05D2163776
- Amy M Reinstadler MD IncCertificate of Compliance, Physician office05D2129629
- Arta Farshidi MD, IncCertificate of Compliance, Physician office05D2125934
- Aviva Alyeshmemi,mdCertificate of Waiver, Physician office05D2159744
- Bayview Dermatology & Laser MedicalCertificate of Compliance, Physician office05D0966966
Related
Questions
What is the CLIA number for Fashion Island Surgery Center in Newport Beach?
05D2241022, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fashion Island Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2241022 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.