CLIA lab
CLIA 05D0896113: Casa De Vida
San Luis Obispo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0896113 belongs to Casa De Vida in San Luis Obispo, CA.
Certificate of Waiver, effective December 30, 2024, expires December 29, 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 of Waiver
- Certificate effective
- December 30, 2024
- Certificate expiration
- December 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 30, 1994
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D0896113
- Lab name
- Casa De Vida
- Address
- 879 Meinecke Ave, San Luis Obispo, CA 93405
- Phone
- (805) 544-5332
Annual test volume the lab reported
- Waived tests
- 99
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 Casa De Vida in San Luis Obispo?
05D0896113, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Casa De Vida hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0896113 expire?
The CMS file lists December 29, 2026 as the certificate expiration date; the certificate took effect December 30, 2024.