CLIA lab
CLIA 05D2247738: Kelly E Fordyee MD Inc
Ladera Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2247738 belongs to Kelly E Fordyee MD Inc in Ladera Ranch, CA.
Certificate of Waiver, effective January 10, 2026, expires January 9, 2028.
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
- January 10, 2026
- Certificate expiration
- January 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2022
- 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
- 05D2247738
- Lab name
- Kelly E Fordyee MD Inc
- Address
- 777 Corporate Dr Ste 140, Ladera Ranch, CA 92694
- Phone
- (949) 409-4868
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Dermatology Center at Ladera IncCertificate of Compliance, Physician office05D1036647
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D1013480
- Memorialcare Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2145199
- Ocean PediatricsCertificate of Waiver, Physician office05D2319526
- Orange County Childrens Medical Group IncCertificate of Waiver, Physician office05D1106075
- Orchards HC LLC, theCertificate of Waiver, Skilled nursing or nursing facility05D2216174
- Providence Mission Health CenterCertificate of Waiver, Physician office05D2342600
- Raef M Elsanadi MD IncCertificate of Waiver, Physician office05D0970605
- Reata Glen Orange County Ccrc LLCCertificate of Waiver, Other05D2230466
Related
Questions
What is the CLIA number for Kelly E Fordyee MD Inc in Ladera Ranch?
05D2247738, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelly E Fordyee MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2247738 expire?
The CMS file lists January 9, 2028 as the certificate expiration date; the certificate took effect January 10, 2026.