CLIA lab
CLIA 05D2016551: Coastal Kids, A Prof Medical Corporation
Moorpark, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2016551 belongs to Coastal Kids, A Prof Medical Corporation in Moorpark, CA.
Certificate of Waiver, effective May 17, 2026, expires May 16, 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
- May 17, 2026
- Certificate expiration
- May 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 2010
- 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
- 05D2016551
- Lab name
- Coastal Kids, A Prof Medical Corporation
- Additional name
- DBA Coastal Kids
- Address
- 145 Los Angeles Ave, Moorpark, CA 93021
- Phone
- (954) 967-6400
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- DR. Curtis Kodama & Associates Inc.Certificate for Provider-Performed Microscopy Procedures, Physician office05D2028673
- Exer Medical CorporationCertificate of Waiver, Other05D2260012
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Related
Questions
What is the CLIA number for Coastal Kids, A Prof Medical Corporation in Moorpark?
05D2016551, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Kids, A Prof Medical Corporation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2016551 expire?
The CMS file lists May 16, 2028 as the certificate expiration date; the certificate took effect May 17, 2026.