CLIA lab
CLIA 05D2043114: Coffee Surgery Center LLC
Bakersfield, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2043114 belongs to Coffee Surgery Center LLC in Bakersfield, CA.
Certificate of Waiver, effective June 27, 2026, expires June 26, 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
- June 27, 2026
- Certificate expiration
- June 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 2012
- Facility type
- Ambulatory surgery center
- 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
- 05D2043114
- Lab name
- Coffee Surgery Center LLC
- Address
- 2120 19th St, Bakersfield, CA 93301
- Phone
- (661) 325-5437
- Fax
- (661) 325-5432
Annual test volume the lab reported
- Waived tests
- 10
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 Coffee Surgery Center LLC in Bakersfield?
05D2043114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coffee Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2043114 expire?
The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.