CLIA lab
CLIA 05D2243362: Providence Sjo Batavia Woods Tmc/Palliative Care
Orange, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2243362 belongs to Providence Sjo Batavia Woods Tmc/Palliative Care in Orange, CA.
Certificate of Waiver, effective November 18, 2025, expires November 17, 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
- November 18, 2025
- Certificate expiration
- November 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 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
- 05D2243362
- Lab name
- Providence Sjo Batavia Woods Tmc/Palliative Care
- Address
- 845 W La Veta Ave Ste 105, Orange, CA 92868
- Phone
- (714) 402-3840
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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- Altamed Medical GroupCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D2152735
- AmeripharmaCertificate of Waiver, Pharmacy05D2136540
- Amhs Exodus Crisis Residential Be Well OrangeCertificate of Waiver, Other05D2225418
- Ana Sanchez, MDCertificate of Waiver, Other practitioner05D0856498
- Angela Allevato MD IncCertificate of Waiver, Physician office05D1036775
- Angela Herrmann MD IncCertificate of Waiver, Physician office05D1005795
Related
Questions
What is the CLIA number for Providence Sjo Batavia Woods Tmc/Palliative Care in Orange?
05D2243362, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Sjo Batavia Woods Tmc/Palliative Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2243362 expire?
The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.