CLIA lab
CLIA 05D2296115: Ivy Park at Seal Beach
Seal Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2296115 belongs to Ivy Park at Seal Beach in Seal Beach, CA.
Certificate of Waiver, effective December 21, 2025, expires December 20, 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
- December 21, 2025
- Certificate expiration
- December 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 05D2296115
- Lab name
- Ivy Park at Seal Beach
- Address
- 3850 Lampson Ave, Seal Beach, CA 90740
- Phone
- (530) 227-5738
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Medex UCCertificate of Waiver, Other05D2271783
- Minuteclinic Diagnostic Medical GroupCertificate of Waiver, Other05D1074014
- Minuteclinic Primary Care- California #28315Certificate of Waiver, Other05D2323850
- Pacific Dermatology SpecialistsCertificate of Registration, Physician office05D2313319
- Ralphs Pharmacy # 604 Mobile CliaCertificate of Waiver, Pharmacy05D0999604
Related
Questions
What is the CLIA number for Ivy Park at Seal Beach in Seal Beach?
05D2296115, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Park at Seal Beach hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2296115 expire?
The CMS file lists December 20, 2027 as the certificate expiration date; the certificate took effect December 21, 2025.