CLIA lab
CLIA 05D0702921: Coastal Kids, A Prof Medical Corporation
Huntington Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0702921 belongs to Coastal Kids, A Prof Medical Corporation in Huntington 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
- October 10, 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
- 05D0702921
- Lab name
- Coastal Kids, A Prof Medical Corporation
- Additional name
- DBA Coastal Kids
- Address
- 17742 Beach Blvd Ste 240, Huntington Beach, CA 92647
- Phone
- (714) 842-0444
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Surgical Institute,theCertificate of Waiver, Ambulatory surgery center05D1030089
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2331722
- Ajay G Meka MD, Inc Amistad Medical ClinicsCertificate of Waiver, Physician office05D2169117
- Akeso Occupational Health - Huntington BeachCertificate of Waiver, Physician office05D2314044
- Alamitos DermatologicalCertificate of Compliance, Physician office05D0946569
- Allergy and Asthma Specialists Med GRPCertificate of Waiver, Physician office05D0966383
- Alta Medical Group-Mobile Van #4Certificate of Waiver, Federally qualified health center05D2344045
Related
Questions
What is the CLIA number for Coastal Kids, A Prof Medical Corporation in Huntington Beach?
05D0702921, 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 05D0702921 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.