CLIA lab
CLIA 05D0559177: Coastal Kids, A Prof Medical Corporation
Tarzana, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0559177 belongs to Coastal Kids, A Prof Medical Corporation in Tarzana, 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
- May 12, 1993
- 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
- 05D0559177
- Lab name
- Coastal Kids, A Prof Medical Corporation
- Additional name
- DBA Coastal Kids
- Address
- 18370 Burbank Blvd, Ste 307, Tarzana, CA 91356
- Phone
- (954) 967-6400
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Institute for Obstetrics andCertificate for Provider-Performed Microscopy Procedures, Other practitioner05D1021332
- All State Patient CareCertificate of Waiver, Home health agency05D2308189
- Allergy Asthma Care Center, Inc.Certificate of Waiver, Physician office05D2127936
- American Urgent Care CenterCertificate of Waiver, Other05D2138090
- Attentive Home Health IncCertificate of Waiver, Home health agency05D2190142
- Autumn Hill Behavioral Heath II, LLCCertificate of Waiver, Ancillary test site05D2335226
- Autumn Hills Behavioral Health, LLCCertificate of Waiver, Ancillary test site05D2325127
- Avanguard Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1059354
Related
Questions
What is the CLIA number for Coastal Kids, A Prof Medical Corporation in Tarzana?
05D0559177, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Kids, A Prof Medical Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0559177 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.