CLIA lab
CLIA 05D2323334: Providence San Clemente Facility
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2323334 belongs to Providence San Clemente Facility in San Clemente, CA.
Certificate of Waiver, effective May 5, 2025, expires May 4, 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
- May 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 2025
- 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
- 05D2323334
- Lab name
- Providence San Clemente Facility
- Address
- 395 West Avenida Vista Hermosa Suite F, San Clemente, CA 92672
- Phone
- (657) 465-1089
- Fax
- (949) 363-7055
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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- Eleven 11 Recovery LLCCertificate of Waiver, Other05D2317563
- Encinitas DetoxCertificate of Waiver, Other05D2306589
- Green Dermatologic Medical GroupCertificate of Compliance, Physician office05D0934428
- Harvard Eye AssociatesCertificate of Waiver, Physician office05D2126188
- Health and Wellness Center IncCertificate of Waiver, Physician office05D2016782
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0579395
- Hoag ClinicCertificate of Waiver, Physician office05D2193830
- Hoag ClinicCertificate of Waiver, Physician office05D2302464
Related
Questions
What is the CLIA number for Providence San Clemente Facility in San Clemente?
05D2323334, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence San Clemente Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2323334 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.