CLIA lab
CLIA 05D0707632: Coastal Pediatric Medical GRP Inc
Ventura, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0707632 belongs to Coastal Pediatric Medical GRP Inc in Ventura, 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
- July 14, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0707632
- Lab name
- Coastal Pediatric Medical GRP Inc
- Address
- 100 N Brent Street Ste 102, Ventura, CA 93003
- Phone
- (805) 643-9271
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Ventura, CA
- Aegis Living of VenturaCertificate of Waiver, Assisted living facility05D2051961
- Aegis Treatment Centers LLCCertificate of Waiver, Other05D2110003
- Allergy, Asthma and Immunology Med GRPCertificate of Waiver, Physician office05D2213163
- Assisted Home CareCertificate of Waiver, Home health agency05D0937001
- Assisted Home HospiceCertificate of Waiver, Hospice05D0967788
- Aster Hospice, Inc DBA Aster HealthCertificate of Waiver, Hospice05D2319941
- Aurora Vista Del Mar HospitalCertificate of Waiver, Hospital05D0899032
- CMH Home Fund MGR LLCCertificate of Waiver, Other05D2316581
- Cardiology Associates Medical GroupCertificate of Waiver, Physician office05D0963447
- Carey Chronis, MDCertificate of Waiver, Physician office05D0988196
Related
Questions
What is the CLIA number for Coastal Pediatric Medical GRP Inc in Ventura?
05D0707632, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Pediatric Medical GRP Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0707632 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.