CLIA lab

CLIA 05D2303474: Amity Health

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

CLIA number 05D2303474 belongs to Amity Health in Costa Mesa, CA.

Certificate of Waiver, effective April 25, 2026, expires April 24, 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
April 25, 2026
Certificate expiration
April 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 25, 2024
Facility type
Physician office
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
05D2303474
Lab name
Amity Health
Address
1640 Newport Blvd, Ste 440, Costa Mesa, CA 92627
Phone
(714) 350-4098
Fax
(949) 288-0385

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.

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Related

Questions

What is the CLIA number for Amity Health in Costa Mesa?

05D2303474, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Amity Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2303474 expire?

The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.

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