CLIA lab
CLIA 05D2303763: Monte Nido Lake Vista, LLC
Yorba Linda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2303763 belongs to Monte Nido Lake Vista, LLC in Yorba Linda, CA.
Certificate of Waiver, effective April 30, 2026, expires April 29, 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 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2024
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2303763
- Lab name
- Monte Nido Lake Vista, LLC
- Additional name
- DBA Clementine Orange County
- Address
- 17059 El Cajon Ave, Yorba Linda, CA 92886
- Phone
- (657) 363-4633
- Fax
- (714) 961-6052
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.
Affiliated CLIA numbers
Other labs in Yorba Linda, CA
- Anchor Medical Group DBA Caduceus Medical GroupCertificate of Waiver, Physician office05D0954510
- Anchor Medical Group DBA Caduceus Medical GroupCertificate of Waiver, Physician office05D2131602
- Bayshire Yorba Linda Post-AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0978844
- Caduceus Medical GroupCertificate of Waiver, Physician office05D0912888
- Caduceus Medical GroupCertificate of Waiver, Physician office05D2335952
- Casa De Yorba LindaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2155622
- Garden Park LabsCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1084093
- Hillside Horizon for Teens LLCCertificate of Waiver, Other05D2329894
- Lighthouse LabsCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D1084092
- Malcolm Ke, MD A Professional CorporationCertificate of Compliance, Physician office05D2015360
Related
Questions
What is the CLIA number for Monte Nido Lake Vista, LLC in Yorba Linda?
05D2303763, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Monte Nido Lake Vista, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2303763 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.