CLIA lab

CLIA 05D2051707: Capitola Surgery Center

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

CLIA number 05D2051707 belongs to Capitola Surgery Center in Capitola, 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
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
05D2051707
Lab name
Capitola Surgery Center
Address
2265 41st Ave, Capitola, CA 95010
Phone
(831) 372-2169
Fax
(831) 372-6323

Annual test volume the lab reported

Waived tests
250

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

Other labs in Capitola, CA

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Questions

What is the CLIA number for Capitola Surgery Center in Capitola?

05D2051707, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Capitola Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2051707 expire?

The CMS file lists December 25, 2026 as the certificate expiration date; the certificate took effect December 26, 2024.

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