CLIA lab

CLIA 05D2326887: Forman Family Medicine

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

CLIA number 05D2326887 belongs to Forman Family Medicine in Newport Beach, CA.

Certificate of Waiver, effective July 11, 2025, expires July 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
July 11, 2025
Certificate expiration
July 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 11, 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
05D2326887
Lab name
Forman Family Medicine
Address
360 San Miguel #706, Newport Beach, CA 92660
Phone
(949) 646-7733
Fax
(949) 646-6155

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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Questions

What is the CLIA number for Forman Family Medicine in Newport Beach?

05D2326887, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Forman Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2326887 expire?

The CMS file lists July 10, 2027 as the certificate expiration date; the certificate took effect July 11, 2025.

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