CLIA lab
CLIA 05D2191017: Primary Medical Group
Santa Paula, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2191017 belongs to Primary Medical Group in Santa Paula, CA.
Certificate of Waiver, effective August 21, 2026, expires August 20, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 21, 2026
- Certificate expiration
- August 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2020
- Facility type
- Physician office
- 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
- 05D2191017
- Lab name
- Primary Medical Group
- Address
- 570 W Main Street, Santa Paula, CA 93060
- Phone
- (805) 547-2242
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Santa Paula, CA
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- Community Memorial Health SystemCertificate for Provider-Performed Microscopy Procedures, Community clinic05D0698707
- Community Memorial Hospital for Family HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic05D0989500
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0906416
- Fresenius Kidney Center of Santa PaulaCertificate of Waiver, End stage renal disease dialysis facility05D0935659
- Mikael Hakansson MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0699111
- Reward Path Recovery LLCCertificate of Waiver, Other05D2223428
- Santa Paula DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0928535
Related
Questions
What is the CLIA number for Primary Medical Group in Santa Paula?
05D2191017, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primary Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2191017 expire?
The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.