CLIA lab
CLIA 05D0877162: Wellpath, Juvenile Hall - Santa Maria
Santa Maria, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0877162 belongs to Wellpath, Juvenile Hall - Santa Maria in Santa Maria, CA.
Certificate of Waiver, effective September 29, 2025, expires September 28, 2027.
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 29, 2025
- Certificate expiration
- September 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 1993
- Facility type
- Other
- 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
- 05D0877162
- Lab name
- Wellpath, Juvenile Hall - Santa Maria
- Address
- 4263 California Boulevard, Santa Maria, CA 93455
- Phone
- (805) 934-6276
- Fax
- (615) 815-2790
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alex Harrison, MD IncCertificate of Waiver, Physician office05D2010498
- Allan Hancock College Student Health CenterCertificate of Waiver, School or student health service05D1076640
- Behavioral WellnessCertificate of Waiver, Ancillary test site05D2216473
- Broadway PharmacyCertificate of Waiver, Pharmacy05D2350572
- California Retina ConsultantsCertificate of Waiver, Physician office05D2110624
- Center for Women's HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic05D2077507
- Central Coast Family Care 4Certificate of Waiver, Physician office05D1048158
- Central Coast Family Care MedicalCertificate for Provider-Performed Microscopy Procedures, Physician office05D0587426
Related
Questions
What is the CLIA number for Wellpath, Juvenile Hall - Santa Maria in Santa Maria?
05D0877162, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellpath, Juvenile Hall - Santa Maria hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0877162 expire?
The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.