CLIA lab

CLIA 05D2344045: Alta Medical Group-Mobile Van #4

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

CLIA number 05D2344045 belongs to Alta Medical Group-Mobile Van #4 in Huntington Beach, CA.

Certificate of Waiver, effective May 15, 2026, expires May 14, 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
May 15, 2026
Certificate expiration
May 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 15, 2026
Facility type
Federally qualified health center
Ownership (control type)
Other
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
05D2344045
Lab name
Alta Medical Group-Mobile Van #4
Additional name
1fdbw1xg2tka04667
Address
2100 Main Street Suite 150, Huntington Beach, CA 92648
Phone
(888) 499-9303
Fax
(714) 399-4256

Annual test volume the lab reported

Waived tests
100

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 Alta Medical Group-Mobile Van #4 in Huntington Beach?

05D2344045, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Alta Medical Group-Mobile Van #4 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2344045 expire?

The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.

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