CLIA lab

CLIA 05D2052004: Avalon Malibu - Grand

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

CLIA number 05D2052004 belongs to Avalon Malibu - Grand in Malibu, CA.

Certificate of Waiver, effective January 3, 2025, expires January 2, 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
January 3, 2025
Certificate expiration
January 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 3, 2013
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2052004
Lab name
Avalon Malibu - Grand
Address
32420 Pacific Coast Hwy., Malibu, CA 90265
Phone
(310) 457-9111

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Malibu, CA

Related

Questions

What is the CLIA number for Avalon Malibu - Grand in Malibu?

05D2052004, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Avalon Malibu - Grand hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2052004 expire?

The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.

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