CLIA lab
CLIA 05D1006663: Jackson Medical Group - Goleta
Goleta, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1006663 belongs to Jackson Medical Group - Goleta in Goleta, CA.
Certificate of Waiver, effective November 21, 2025, expires November 20, 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
- November 21, 2025
- Certificate expiration
- November 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 26, 2002
- 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
- 05D1006663
- Lab name
- Jackson Medical Group - Goleta
- Address
- 5333 Hollister Ave, Ste 110, Goleta, CA 93111
- Phone
- (805) 682-8844
- Fax
- (805) 683-0149
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Buena Vista Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0890884
- Cottage Primary Care - GoletaCertificate of Waiver, Physician office05D2310042
- Cottage Urgent Care-Hollister VillageCertificate of Waiver, Other05D2182891
- Cvspharmacy #11216Certificate of Waiver, Pharmacy05D2271854
- Goleta Neighborhood ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0584453
- Herbay Pharmacy/ Choice Infusion CareCertificate of Waiver, Pharmacy05D2203165
- Jackson & Engberg Medical GroupCertificate of Waiver, Physician office05D2108308
- Jessie Hopkins Hinchee FoundationCertificate of Waiver, Other05D1013479
- MaravillaCertificate of Waiver, Assisted living facility05D2204246
Related
Questions
What is the CLIA number for Jackson Medical Group - Goleta in Goleta?
05D1006663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson Medical Group - Goleta hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1006663 expire?
The CMS file lists November 20, 2027 as the certificate expiration date; the certificate took effect November 21, 2025.