CLIA lab
CLIA 05D0886961: Pleasant Valley Pediatric Medical GRP
Camarillo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0886961 belongs to Pleasant Valley Pediatric Medical GRP in Camarillo, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 1, 2024, expires November 30, 2026.
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
- December 1, 2024
- Certificate expiration
- November 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 1, 1994
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0886961
- Lab name
- Pleasant Valley Pediatric Medical GRP
- Address
- 2486 Ponderosa Drive North D-211, Camarillo, CA 93010
- Phone
- (805) 484-2818
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A Prime Home Health Services, Inc.Certificate of Waiver, Home health agency05D2132814
- Affiliated Dermatologists, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0583379
- Afrouz Gerayli MDCertificate of Waiver, Physician office05D0996763
- Alamar Healthcare IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0899173
- All Heart Home Health Care of CamarilloCertificate of Waiver, Home health agency05D2122162
- Allergy Care CenterCertificate of Waiver, Physician office05D2204892
- Altitude Recovery Community LLCCertificate of Waiver, Ancillary test site05D2281172
- Altitude Recovery Community No 2 LLCCertificate of Waiver, Ancillary test site05D2319946
- Altitude Recovery Community No 3 LLCCertificate of Waiver, Ancillary test site05D2347394
Related
Questions
What is the CLIA number for Pleasant Valley Pediatric Medical GRP in Camarillo?
05D0886961, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pleasant Valley Pediatric Medical GRP hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0886961 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.