CLIA lab
CLIA 05D1069852: Pelican Home
Oxnard, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1069852 belongs to Pelican Home in Oxnard, CA.
Certificate of Waiver, effective January 23, 2026, expires January 22, 2028.
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
- January 23, 2026
- Certificate expiration
- January 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 2007
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1069852
- Lab name
- Pelican Home
- Additional name
- Epiphany Care Homes Inc
- Address
- 1101 Ivywood Dr, Oxnard, CA 93030
- Phone
- (805) 983-7601
- Fax
- (805) 485-8111
Annual test volume the lab reported
- Waived tests
- 730
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Oxnard, CA
- Advanced Retina AssociatesCertificate of Waiver, Other practitioner05D2196617
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0687007
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2331874
- Among Friends Adhc CenterCertificate of Waiver, Other05D0984220
- Antoine T Hanna MDCertificate of Waiver, Physician office05D0958511
- Apex Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2285590
- Atricare IncCertificate of Waiver, Physician office05D1010792
- Augusto Focil MD A Professional CorpCertificate of Waiver, Physician office05D0941270
- Bautista Medical GroupCertificate of Waiver, Physician office05D0998466
- Bma OxnardCertificate of Waiver, End stage renal disease dialysis facility05D0900041
Related
Questions
What is the CLIA number for Pelican Home in Oxnard?
05D1069852, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pelican Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1069852 expire?
The CMS file lists January 22, 2028 as the certificate expiration date; the certificate took effect January 23, 2026.