CLIA lab
CLIA 05D2256639: Pismo Beach Pediatric Center
Pismo Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2256639 belongs to Pismo Beach Pediatric Center in Pismo Beach, CA.
Certificate of Waiver, effective March 25, 2026, expires March 24, 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
- March 25, 2026
- Certificate expiration
- March 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2022
- 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
- 05D2256639
- Lab name
- Pismo Beach Pediatric Center
- Address
- 2 James Way Suite 209, Pismo Beach, CA 93449
- Phone
- (805) 549-6915
- Fax
- (805) 549-6916
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pismo Beach, CA
- Arroyo Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D0939438
- Avalon Pediatrics IncCertificate of Waiver, Physician office05D1098125
- Coastal Surgical Specialists Inc/Certificate of Waiver, Ambulatory surgery center05D1023498
- James Way Health CenterCertificate for Provider-Performed Microscopy Procedures, Community clinic05D2329806
- Med Plus Pismo BeachCertificate for Provider-Performed Microscopy Procedures, Community clinic05D2115785
- Pismo Beach DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1047986
- Pismo Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office05D0587325
- Urgent Care of Pismo BeachCertificate of Waiver, Other05D2133505
- Urology Associates of the Central CoastCertificate for Provider-Performed Microscopy Procedures, Physician office05D0953714
- Ventana Health CenterCertificate of Waiver, Community clinic05D2164485
Related
Questions
What is the CLIA number for Pismo Beach Pediatric Center in Pismo Beach?
05D2256639, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pismo Beach Pediatric Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2256639 expire?
The CMS file lists March 24, 2028 as the certificate expiration date; the certificate took effect March 25, 2026.