CLIA lab
CLIA 05D2323775: 1510 East Commonwealth Avenue Opco LLC
Fullerton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2323775 belongs to 1510 East Commonwealth Avenue Opco LLC in Fullerton, CA.
Certificate of Waiver, effective May 13, 2025, expires May 12, 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 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2025
- Facility type
- Assisted living facility
- 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
- 05D2323775
- Lab name
- 1510 East Commonwealth Avenue Opco LLC
- Address
- 1510 East Commonwealth Ave, Fullerton, CA 92831
- Phone
- (530) 227-5738
Annual test volume the lab reported
- Waived tests
- 250
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 1510 East Commonwealth Avenue Opco LLC in Fullerton?
05D2323775, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 1510 East Commonwealth Avenue Opco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2323775 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.