CLIA lab

CLIA 05D1007642: Michael S Havertt ND

Santa Maria, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1007642 belongs to Michael S Havertt ND in Santa Maria, CA.

Certificate of Waiver, effective December 24, 2024, expires December 23, 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 24, 2024
Certificate expiration
December 23, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 24, 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
05D1007642
Lab name
Michael S Havertt ND
Address
2342 Professional Parkway Suite 260, Santa Maria, CA 93455
Phone
(805) 348-3910
Fax
(805) 348-3901

Annual test volume the lab reported

Waived tests
650

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 Michael S Havertt ND in Santa Maria?

05D1007642, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Michael S Havertt ND hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1007642 expire?

The CMS file lists December 23, 2026 as the certificate expiration date; the certificate took effect December 24, 2024.

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