CLIA lab
CLIA 05D1098125: Avalon Pediatrics Inc
Pismo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1098125 belongs to Avalon Pediatrics Inc in Pismo Beach, CA.
Certificate of Waiver, effective April 13, 2025, expires April 12, 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
- April 13, 2025
- Certificate expiration
- April 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 13, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1098125
- Lab name
- Avalon Pediatrics Inc
- Address
- 911 Oak Park Blvd Ste 107, Pismo Beach, CA 93449
- Phone
- (805) 474-8700
- Fax
- (805) 474-8466
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pismo Beach, CA
- Arroyo Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D0939438
- 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 DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1047986
- 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 Avalon Pediatrics Inc in Pismo Beach?
05D1098125, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avalon Pediatrics Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1098125 expire?
The CMS file lists April 12, 2027 as the certificate expiration date; the certificate took effect April 13, 2025.