CLIA lab
CLIA 05D2025579: Coastal Kids, A Prof Medical Corporation
Pomona, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2025579 belongs to Coastal Kids, A Prof Medical Corporation in Pomona, CA.
Certificate of Waiver, effective June 13, 2025, expires June 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
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2011
- 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
- 05D2025579
- Lab name
- Coastal Kids, A Prof Medical Corporation
- Additional name
- DBA Coastal Kids
- Address
- 1920 N Garey Ave, Pomona, CA 91767
- Phone
- (714) 842-0444
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Coastal Kids, A Prof Medical Corporation in Pomona?
05D2025579, 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 05D2025579 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.