CLIA lab
CLIA 05D0553694: Ag Seal Beach DBA
Seal Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0553694 belongs to Ag Seal Beach DBA in Seal Beach, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 1994
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0553694
- Lab name
- Ag Seal Beach DBA
- Additional name
- Country Villa Seal Beach Healthcare Center
- Address
- 3000 Beverly Manor Road, Seal Beach, CA 90740
- Phone
- (562) 598-2477
- Fax
- (562) 594-8086
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Seal Beach, CA
- Ageless Men's HealthCertificate of Waiver, Physician office05D2347544
- Gameday Men's Health Seal BeachCertificate of Accreditation, Physician office05D2307110
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0680423
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0947323
- Ivy Park at Seal BeachCertificate of Waiver, Assisted living facility05D2296115
- Medex UCCertificate of Waiver, Other05D2271783
- Minuteclinic Diagnostic Medical GroupCertificate of Waiver, Other05D1074014
- Minuteclinic Primary Care- California #28315Certificate of Waiver, Other05D2323850
- Pacific Dermatology SpecialistsCertificate of Registration, Physician office05D2313319
- Ralphs Pharmacy # 604 Mobile CliaCertificate of Waiver, Pharmacy05D0999604
Related
Questions
What is the CLIA number for Ag Seal Beach DBA in Seal Beach?
05D0553694, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ag Seal Beach DBA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0553694 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.