CLIA lab
CLIA 05D2155573: Broad Beach Retreat
Malibu, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2155573 belongs to Broad Beach Retreat in Malibu, CA.
Certificate of Waiver, effective October 2, 2024, expiration date October 1, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 2, 2024
- Certificate expiration
- October 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 2018
- Facility type
- Other
- 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
- 05D2155573
- Lab name
- Broad Beach Retreat
- Address
- 31217, Malibu, CA 90265
- Phone
- (424) 346-8460
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Access Malibu, IncCertificate of Waiver, Other05D2129301
- Avalon Malibu - CottageCertificate of Waiver, Other05D2099605
- Avalon Malibu - GrandCertificate of Waiver, Other05D2052004
- Bailard House LLCCertificate of Waiver, Other05D2124809
- Carrara Beach HouseCertificate of Waiver, Ancillary test site05D2296597
- Corral Canyon Recovery LLCCertificate of Waiver, Other05D2343058
- Jeff Harris MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0548356
- Lifesync Recovery and DetoxificationCertificate of Waiver, Other05D2129767
- Lifesync Recovery and Detoxification LLCCertificate of Waiver, Other05D2338906
- Lifesync Recovery and Detoxification LLCCertificate of Waiver, Other05D2342808
Related
Questions
What is the CLIA number for Broad Beach Retreat in Malibu?
05D2155573, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broad Beach Retreat hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2155573 expire?
The CMS file lists October 1, 2026 as the certificate expiration date; the certificate took effect October 2, 2024.