CLIA lab

CLIA 05D2003104: Grotenhuis Pediatric Clinics

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

CLIA number 05D2003104 belongs to Grotenhuis Pediatric Clinics in Santa Barbara, CA.

Certificate of Waiver, effective February 2, 2026, expires February 1, 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
February 2, 2026
Certificate expiration
February 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 2, 2010
Facility type
Ancillary test site
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
11

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2003104
Lab name
Grotenhuis Pediatric Clinics
Address
2401 Bath St, 2nd Floor, Santa Barbara, CA 93105
Phone
(805) 682-7111
Fax
(805) 749-2899

Annual test volume the lab reported

Waived tests
2,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Santa Barbara, CA

Related

Questions

What is the CLIA number for Grotenhuis Pediatric Clinics in Santa Barbara?

05D2003104, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grotenhuis Pediatric Clinics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2003104 expire?

The CMS file lists February 1, 2028 as the certificate expiration date; the certificate took effect February 2, 2026.

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