CLIA lab
CLIA 05D2145587: Frank Mazzone, M.D. Premier Concierge Medicine
Avila Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2145587 belongs to Frank Mazzone, M.D. Premier Concierge Medicine in Avila Beach, CA.
Certificate of Waiver, effective March 12, 2026, expires March 11, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 12, 2026
- Certificate expiration
- March 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 2018
- Facility type
- Physician office
- 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
- 05D2145587
- Lab name
- Frank Mazzone, M.D. Premier Concierge Medicine
- Address
- 6627 #b Bay Laurel Place, Avila Beach, CA 93424
- Phone
- (805) 441-1665
- Fax
- (844) 971-5901
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Avila Beach, CA
Related
Questions
What is the CLIA number for Frank Mazzone, M.D. Premier Concierge Medicine in Avila Beach?
05D2145587, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Frank Mazzone, M.D. Premier Concierge Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2145587 expire?
The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.