CLIA lab

CLIA 05D2084691: Coastal Cardiology - Diagnostic Center

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

CLIA number 05D2084691 belongs to Coastal Cardiology - Diagnostic Center in San Luis Obispo, CA.

Certificate of Waiver, effective September 29, 2026, expires September 28, 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
September 29, 2026
Certificate expiration
September 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 29, 2014
Facility type
Community clinic
Ownership (control type)
Other
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
05D2084691
Lab name
Coastal Cardiology - Diagnostic Center
Address
1941 Johnson Ave Ste 102, San Luis Obispo, CA 93401
Phone
(805) 782-8844
Fax
(833) 613-2633

Annual test volume the lab reported

Waived tests
50

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

Affiliated CLIA numbers

Other labs in San Luis Obispo, CA

Related

Questions

What is the CLIA number for Coastal Cardiology - Diagnostic Center in San Luis Obispo?

05D2084691, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Coastal Cardiology - Diagnostic Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2084691 expire?

The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.

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