CLIA lab

CLIA 05D0559512: Coastal Kids, A Professional Medical Corp

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

CLIA number 05D0559512 belongs to Coastal Kids, A Professional Medical Corp in Thousand Oaks, CA.

Certificate of Waiver, effective April 15, 2026, expires April 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
April 15, 2026
Certificate expiration
April 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 17, 1992
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
05D0559512
Lab name
Coastal Kids, A Professional Medical Corp
Additional name
DBA Coastal Kids
Address
33 W Thousand Oaks Blvd, Thousand Oaks, CA 91360
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.

Other labs in Thousand Oaks, CA

Related

Questions

What is the CLIA number for Coastal Kids, A Professional Medical Corp in Thousand Oaks?

05D0559512, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Coastal Kids, A Professional Medical Corp hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0559512 expire?

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

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