CLIA lab

CLIA 05D2286210: Ivy Park of Wellington

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

CLIA number 05D2286210 belongs to Ivy Park of Wellington in Laguna Woods, CA.

Certificate of Waiver, effective July 25, 2025, expires July 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
July 25, 2025
Certificate expiration
July 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 25, 2023
Facility type
Assisted living facility
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
05D2286210
Lab name
Ivy Park of Wellington
Address
24962 Calle Aragon, Laguna Woods, CA 92637
Phone
(530) 227-5738

Annual test volume the lab reported

Waived tests
500

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

Other labs in Laguna Woods, CA

Related

Questions

What is the CLIA number for Ivy Park of Wellington in Laguna Woods?

05D2286210, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ivy Park of Wellington hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2286210 expire?

The CMS file lists July 24, 2027 as the certificate expiration date; the certificate took effect July 25, 2025.

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