CLIA lab

CLIA 05D2278167: Susan Samueli Integrative Health Institute

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

CLIA number 05D2278167 belongs to Susan Samueli Integrative Health Institute in Irvine, CA.

Certificate of Waiver, effective March 13, 2025, expires March 12, 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
March 13, 2025
Certificate expiration
March 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 13, 2023
Facility type
Physician office
Ownership (control type)
Other
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
05D2278167
Lab name
Susan Samueli Integrative Health Institute
Address
856 Medical Science Quad Ste 2600, Irvine, CA 92697
Phone
(714) 424-9001
Fax
(714) 424-9005

Annual test volume the lab reported

Waived tests
150

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

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Questions

What is the CLIA number for Susan Samueli Integrative Health Institute in Irvine?

05D2278167, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Susan Samueli Integrative Health Institute hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2278167 expire?

The CMS file lists March 12, 2027 as the certificate expiration date; the certificate took effect March 13, 2025.

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