CLIA lab

CLIA 05D2289932: The Ivy at Wellington

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

CLIA number 05D2289932 belongs to The Ivy at Wellington in Aliso Viejo, CA.

Certificate of Waiver, effective September 18, 2025, expires September 17, 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 18, 2025
Certificate expiration
September 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 18, 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
05D2289932
Lab name
The Ivy at Wellington
Address
24903 Moulton Parkway, Aliso Viejo, CA 92653
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 Aliso Viejo, CA

Related

Questions

What is the CLIA number for The Ivy at Wellington in Aliso Viejo?

05D2289932, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does The Ivy at Wellington hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2289932 expire?

The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.

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