CLIA lab
CLIA 05D2326693: Evergreen Congregate
Costa Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2326693 belongs to Evergreen Congregate in Costa Mesa, CA.
Certificate of Waiver, effective July 8, 2025, expires July 7, 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
- July 8, 2025
- Certificate expiration
- July 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 2025
- Facility type
- Skilled nursing or nursing 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
- 05D2326693
- Lab name
- Evergreen Congregate
- Address
- 823 Towne St, Costa Mesa, CA 92627
- Phone
- (949) 343-0464
Annual test volume the lab reported
- Waived tests
- 800
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 Evergreen Congregate in Costa Mesa?
05D2326693, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Congregate hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2326693 expire?
The CMS file lists July 7, 2027 as the certificate expiration date; the certificate took effect July 8, 2025.