CLIA lab
CLIA 05D2051703: Coastal Kids, A Prof Medical Corporation
Ventura, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2051703 belongs to Coastal Kids, A Prof Medical Corporation in Ventura, CA.
Certificate of Waiver, effective December 26, 2024, expires December 25, 2026.
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
- December 26, 2024
- Certificate expiration
- December 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 26, 2012
- 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
- 05D2051703
- Lab name
- Coastal Kids, A Prof Medical Corporation
- Additional name
- DBA Coastal Kids
- Address
- 2601 E Main St, Ste 200, Ventura, CA 93003
- Phone
- (954) 967-6400
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aurora Vista Del Mar HospitalCertificate of Waiver, Hospital05D0899032
- CMH Home Fund MGR LLCCertificate of Waiver, Other05D2316581
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- Carey Chronis, MDCertificate of Waiver, Physician office05D0988196
Related
Questions
What is the CLIA number for Coastal Kids, A Prof Medical Corporation in Ventura?
05D2051703, 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 05D2051703 expire?
The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.