CLIA lab

CLIA 05D2324676: Crystal Cove Recovery, LLC

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

CLIA number 05D2324676 belongs to Crystal Cove Recovery, LLC in Laguna Beach, CA.

Certificate of Waiver, effective May 29, 2025, expires May 28, 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 29, 2025
Certificate expiration
May 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 29, 2025
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
05D2324676
Lab name
Crystal Cove Recovery, LLC
Address
540 Park Ave, Laguna Beach, CA 92651
Phone
(949) 353-7162
Fax
(949) 850-1050

Annual test volume the lab reported

Waived tests
200

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 Crystal Cove Recovery, LLC in Laguna Beach?

05D2324676, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Crystal Cove Recovery, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2324676 expire?

The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.

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