CLIA lab
CLIA 05D2289435: Ivy Park at Laguna Woods
Laguna Woods, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2289435 belongs to Ivy Park at Laguna Woods in Laguna Woods, CA.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 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
- 05D2289435
- Lab name
- Ivy Park at Laguna Woods
- Address
- 24441 Calle Sonora, 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
- El Toro Adult Day ServicesCertificate of Waiver, Other05D2130144
- Hanmaum Medical CenterCertificate of Waiver, Physician office05D2341457
- Healthy Aging CenterCertificate of Waiver, Other05D0985923
- Ivy Park of WellingtonCertificate of Waiver, Assisted living facility05D2286210
- Laguna Hills CbocCertificate of Accreditation, Community clinic05D2279929
- Memorialcare Medical GroupCertificate of Waiver, Physician office05D2180714
- Memorialcare Surgical Center Laguna WoodsCertificate of Waiver, Ambulatory surgery center05D1011547
- Palm Terrace HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0929818
Related
Questions
What is the CLIA number for Ivy Park at Laguna Woods in Laguna Woods?
05D2289435, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Park at Laguna Woods hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2289435 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.