CLIA lab
CLIA 05D2342600: Providence Mission Health Center
Ladera Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2342600 belongs to Providence Mission Health Center in Ladera Ranch, CA.
Certificate of Waiver, effective April 22, 2026, expires April 21, 2028.
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
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2026
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2342600
- Lab name
- Providence Mission Health Center
- Address
- 28881 Airoso St, Ladera Ranch, CA 92694
- Phone
- (657) 749-8892
- Fax
- (949) 367-0518
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D1013480
- Kelly E Fordyee MD IncCertificate of Waiver, Physician office05D2247738
- Memorialcare Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2145199
- Ocean PediatricsCertificate of Waiver, Physician office05D2319526
- Orange County Childrens Medical Group IncCertificate of Waiver, Physician office05D1106075
- Orchards HC LLC, theCertificate of Waiver, Skilled nursing or nursing facility05D2216174
- Raef M Elsanadi MD IncCertificate of Waiver, Physician office05D0970605
- Reata Glen Orange County Ccrc LLCCertificate of Waiver, Other05D2230466
Related
Questions
What is the CLIA number for Providence Mission Health Center in Ladera Ranch?
05D2342600, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Mission Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2342600 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.