CLIA lab
CLIA 05D2325413: Portola Medical Services PC
Lake Forest, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2325413 belongs to Portola Medical Services PC in Lake Forest, CA.
Certificate of Waiver, effective June 11, 2025, expires June 10, 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
- June 11, 2025
- Certificate expiration
- June 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 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
- 05D2325413
- Lab name
- Portola Medical Services PC
- Address
- 29100 Portola Pkwy, Ste B, Lake Forest, CA 92630
- Phone
- (844) 254-6382
- Fax
- (949) 535-1109
Annual test volume the lab reported
- Waived tests
- 1,000
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 Portola Medical Services PC in Lake Forest?
05D2325413, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Portola Medical Services PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2325413 expire?
The CMS file lists June 10, 2027 as the certificate expiration date; the certificate took effect June 11, 2025.