CLIA lab
CLIA 05D2279182: Portola Medical Services, PC
Cypress, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2279182 belongs to Portola Medical Services, PC in Cypress, CA.
Certificate of Waiver, effective March 30, 2025, expires March 29, 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 30, 2025
- Certificate expiration
- March 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2023
- Facility type
- Other
- 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
- 05D2279182
- Lab name
- Portola Medical Services, PC
- Address
- 6876 Katella Ave, Cypress, CA 90630
- Phone
- (657) 256-5994
- Fax
- (949) 535-1109
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.
Other labs in Cypress, CA
- Altasciences Los AngelesCertificate of Accreditation, Independent05D1064850
- Carbon Health Medical GroupCertificate of Waiver, Physician office05D2074615
- Caretech Home Health IncCertificate of Waiver, Home health agency05D1070829
- Compass RecoveryCertificate of Waiver, Other05D2101277
- Consolidated Medical Bio-Analysis IncCertificate of Accreditation, Independent05D0553364
- Cypress Adult Day Hlth Care CTRCertificate of Waiver, Other05D0985905
- Cypress College Student Health CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service05D1083016
- GFK Home Health CareCertificate of Waiver, Home health agency05D1085753
- Memorialcare Medical GroupCertificate of Waiver, Physician office05D2267005
- ST Luke's Home Health Services IncCertificate of Waiver, Home health agency05D1068327
Related
Questions
What is the CLIA number for Portola Medical Services, PC in Cypress?
05D2279182, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Portola Medical Services, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2279182 expire?
The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.