CLIA lab
CLIA 05D2348998: Costa Mesa Detox
Fountain Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2348998 belongs to Costa Mesa Detox in Fountain Valley, CA.
Certificate of Waiver, effective August 13, 2026, expires August 12, 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
- August 13, 2026
- Certificate expiration
- August 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 2026
- 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
- 05D2348998
- Lab name
- Costa Mesa Detox
- Address
- 17974 Los Pesos Circle, Fountain Valley, CA 92708
- Phone
- (954) 496-2885
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fountain Valley, CA
- Acacia HH&P of Southern California, LLCCertificate of Waiver, Home health agency05D2121243
- Acacia Hospice and Palliative ServicesCertificate of Waiver, Hospice05D2104659
- Ahmed Alsadek, M.D., IncCertificate of Waiver, Physician office05D2305500
- Ajit S Sawhney, MDCertificate of Waiver, Physician office05D2120988
- Alliance Hospice & Palliative Care IncCertificate of Waiver, Hospice05D2127225
- Ark Clinical Research, LLCCertificate of Waiver, Physician office05D2230389
- Asana Recovery - MagnoliaCertificate of Waiver, Other05D2260331
- Best Golden Care Hospice IncCertificate of Waiver, Hospice05D2059165
- Bio Path Medical Group IncCertificate of Compliance, Independent05D0914742
- Bio-Path Medical Group IncCertificate of Compliance, Independent05D0974660
Related
Questions
What is the CLIA number for Costa Mesa Detox in Fountain Valley?
05D2348998, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costa Mesa Detox hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2348998 expire?
The CMS file lists August 12, 2028 as the certificate expiration date; the certificate took effect August 13, 2026.