CLIA lab
CLIA 05D2301490: Walgreens 11652
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2301490 belongs to Walgreens 11652 in Costa Mesa, CA.
Certificate of Waiver, effective March 26, 2026, expires March 25, 2028.
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
- March 26, 2026
- Certificate expiration
- March 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 26, 2024
- Facility type
- Pharmacy
- 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
- 05D2301490
- Lab name
- Walgreens 11652
- Address
- 1726 Superior Ave, Costa Mesa, CA 92627
- Phone
- (949) 629-9714
- Fax
- (949) 629-9715
Annual test volume the lab reported
- Waived tests
- 12,775
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advantage Health SystemsCertificate of Waiver, Home health agency05D2038432
- Advantage Health SystemsCertificate of Waiver, Hospice05D2123121
Related
Questions
What is the CLIA number for Walgreens 11652 in Costa Mesa?
05D2301490, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walgreens 11652 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2301490 expire?
The CMS file lists March 25, 2028 as the certificate expiration date; the certificate took effect March 26, 2026.