CLIA lab

CLIA 05D0587325: Pismo Family Practice

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

CLIA number 05D0587325 belongs to Pismo Family Practice in Pismo Beach, CA.

Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 22, 1996
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
05D0587325
Lab name
Pismo Family Practice
Address
575 Price Street Suite 101, Pismo Beach, CA 93449
Phone
(805) 773-0707
Fax
(805) 773-2051

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
50
Total
1,050

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 Pismo Family Practice in Pismo Beach?

05D0587325, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pismo Family Practice hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0587325 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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