CLIA lab

CLIA 05D2171977: Beautologie - Stockton

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

CLIA number 05D2171977 belongs to Beautologie - Stockton in Stockton, CA.

Certificate of Waiver, effective September 11, 2025, expires September 10, 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 11, 2025
Certificate expiration
September 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2019
Facility type
Ambulatory surgery center
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
05D2171977
Lab name
Beautologie - Stockton
Address
4643 Quail Lakes Drive #103, Stockton, CA 95207
Phone
(209) 584-1234
Fax
(661) 347-4172

Annual test volume the lab reported

Waived tests
150

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 Beautologie - Stockton in Stockton?

05D2171977, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Beautologie - Stockton hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2171977 expire?

The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.

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