CLIA lab
CLIA 05D2101821: Guardian Angel Home Care of San Luis Obispo
San Luis Obispo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2101821 belongs to Guardian Angel Home Care of San Luis Obispo in San Luis Obispo, CA.
Certificate of Waiver, effective September 10, 2025, expires September 9, 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
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2015
- Facility type
- Home health agency
- 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
- 05D2101821
- Lab name
- Guardian Angel Home Care of San Luis Obispo
- Address
- 1428 Phillips Lane Ste B-2, San Luis Obispo, CA 93401
- Phone
- (248) 293-2418
- Fax
- (248) 293-2401
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.
Care facility at this address
- Guardian Angel Home Care of San Luis Obispo, LLCCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Guardian Angel Home Care of San Luis Obispo in San Luis Obispo?
05D2101821, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Guardian Angel Home Care of San Luis Obispo hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2101821 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.