CLIA lab
CLIA 05D2202964: Abroms Dougherty Vision ASC LLC
San Luis Obispo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2202964 belongs to Abroms Dougherty Vision ASC LLC in San Luis Obispo, CA.
Certificate of Waiver, effective December 2, 2024, expires December 1, 2026.
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
- December 2, 2024
- Certificate expiration
- December 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 2020
- 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
- 05D2202964
- Lab name
- Abroms Dougherty Vision ASC LLC
- Address
- 4472 Broad St # 150, San Luis Obispo, CA 93401
- Phone
- (805) 545-8100
- Fax
- (805) 545-8902
Annual test volume the lab reported
- Waived tests
- 600
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 Abroms Dougherty Vision ASC LLC in San Luis Obispo?
05D2202964, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Abroms Dougherty Vision ASC LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2202964 expire?
The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.