CLIA lab

CLIA 05D2074378: Ken Starr MD Wellness Group

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

CLIA number 05D2074378 belongs to Ken Starr MD Wellness Group in Arroyo Grande, CA.

Certificate of Waiver, effective January 31, 2026, expires January 30, 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
January 31, 2026
Certificate expiration
January 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 2014
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
05D2074378
Lab name
Ken Starr MD Wellness Group
Address
107 Nelson Street, Arroyo Grande, CA 93420
Phone
(805) 242-1360
Fax
(805) 528-8178

Annual test volume the lab reported

Waived tests
200

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

Other labs in Arroyo Grande, CA

Related

Questions

What is the CLIA number for Ken Starr MD Wellness Group in Arroyo Grande?

05D2074378, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ken Starr MD Wellness Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2074378 expire?

The CMS file lists January 30, 2028 as the certificate expiration date; the certificate took effect January 31, 2026.

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