CLIA lab
CLIA 05D1047986: Pismo Beach Dialysis
Pismo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1047986 belongs to Pismo Beach Dialysis in Pismo Beach, CA.
Certificate of Waiver, effective November 18, 2025, expires November 17, 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 18, 2025
- Certificate expiration
- November 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2005
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1047986
- Lab name
- Pismo Beach Dialysis
- Address
- 320 James Way Suite #110, Pismo Beach, CA 93449
- Phone
- (805) 556-0577
- Fax
- (805) 556-0510
Annual test volume the lab reported
- Waived tests
- 22,464
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Pismo Beach DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Pismo Beach, CA
- Arroyo Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D0939438
- Avalon Pediatrics IncCertificate of Waiver, Physician office05D1098125
- Coastal Surgical Specialists Inc/Certificate of Waiver, Ambulatory surgery center05D1023498
- James Way Health CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic05D2329806
- Med Plus Pismo BeachCertificate for Provider-Performed Microscopy Procedures, Community clinic05D2115785
- Pismo Beach Pediatric CenterCertificate of Waiver, Community clinic05D2256639
- Pismo Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office05D0587325
- Urgent Care of Pismo BeachCertificate of Waiver, Other05D2133505
- Urology Associates of the Central CoastCertificate for Provider-Performed Microscopy Procedures, Physician office05D0953714
- Ventana Health CenterCertificate of Waiver, Community clinic05D2164485
Related
Questions
What is the CLIA number for Pismo Beach Dialysis in Pismo Beach?
05D1047986, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pismo Beach Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1047986 expire?
The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.