CLIA lab
CLIA 05D2121887: Wonderful Center for Health Innovation Inc
Lost Hills, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2121887 belongs to Wonderful Center for Health Innovation Inc in Lost Hills, CA.
Certificate of Waiver, effective November 15, 2024, expires November 14, 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
- November 15, 2024
- Certificate expiration
- November 14, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 15, 2016
- Facility type
- Mobile lab
- 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
- 05D2121887
- Lab name
- Wonderful Center for Health Innovation Inc
- Additional name
- Mobile Clinic
- Address
- 13646 Hwy 33, Lost Hills, CA 93249
- Phone
- (661) 797-6624
- Fax
- (661) 797-6708
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Wonderful Center for Health Innovation Inc in Lost Hills?
05D2121887, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wonderful Center for Health Innovation Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2121887 expire?
The CMS file lists November 14, 2026 as the certificate expiration date; the certificate took effect November 15, 2024.