CLIA lab
CLIA 05D2304772: Brentwood Inc
Anaheim, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2304772 belongs to Brentwood Inc in Anaheim, CA.
Certificate of Waiver, effective May 17, 2026, expires May 16, 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
- May 17, 2026
- Certificate expiration
- May 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 2024
- Facility type
- Other
- 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
- 05D2304772
- Lab name
- Brentwood Inc
- Address
- 1767 W Brentwood Pl, Anaheim, CA 92804
- Phone
- (714) 491-2840
- Fax
- (714) 778-3807
Annual test volume the lab reported
- Waived tests
- 1
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 Brentwood Inc in Anaheim?
05D2304772, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brentwood Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2304772 expire?
The CMS file lists May 16, 2028 as the certificate expiration date; the certificate took effect May 17, 2026.