CLIA lab
CLIA 05D2291536: Mammoth Path Solution, LLC
Lake Forest, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2291536 belongs to Mammoth Path Solution, LLC in Lake Forest, CA.
Certificate of Compliance, effective July 11, 2025, expires July 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 Compliance
- Certificate effective
- July 11, 2025
- Certificate expiration
- July 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 2023
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2291536
- Lab name
- Mammoth Path Solution, LLC
- Address
- 20505 Crescent Bay Dr, Ste A2, Lake Forest, CA 92630
- Phone
- (714) 726-9565
Annual test volume the lab reported
- Other nonwaived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Forest, CA
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2136189
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2275646
- A Better Life Recovery, LLCCertificate of Waiver, Other05D2285278
- Adel A Boutros, MDCertificate of Waiver, Physician office05D0897771
- Alcon LaboratoriesCertificate of Waiver, Other05D2279166
- Coastline EndocrinologyCertificate of Waiver, Physician office05D2338903
- Concentra Lake ForestCertificate of Waiver, Physician office05D0958933
- Foothill Gateway Surgery Center LLCCertificate of Waiver, Ambulatory surgery center05D1024936
- Foothill Surgical InstituteCertificate of Waiver, Ambulatory surgery center05D1030512
- Freedom Village Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0880891
Related
Questions
What is the CLIA number for Mammoth Path Solution, LLC in Lake Forest?
05D2291536, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mammoth Path Solution, LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2291536 expire?
The CMS file lists July 10, 2027 as the certificate expiration date; the certificate took effect July 11, 2025.