CLIA lab

CLIA 05D2164485: Ventana Health Center

Pismo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2164485 belongs to Ventana Health Center in Pismo Beach, CA.

Certificate of Waiver, effective April 5, 2025, expires April 4, 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
April 5, 2025
Certificate expiration
April 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 5, 2019
Facility type
Community clinic
Ownership (control type)
Other
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
05D2164485
Lab name
Ventana Health Center
Address
901 Oak Park Boulevard, Suite 101, Pismo Beach, CA 93449
Phone
(805) 994-5485
Fax
(805) 614-5871

Annual test volume the lab reported

Waived tests
200

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

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Related

Questions

What is the CLIA number for Ventana Health Center in Pismo Beach?

05D2164485, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ventana Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2164485 expire?

The CMS file lists April 4, 2027 as the certificate expiration date; the certificate took effect April 5, 2025.

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