CLIA lab

CLIA 05D2280828: South County Mobile 1f65f5dy7j0a06044

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

CLIA number 05D2280828 belongs to South County Mobile 1f65f5dy7j0a06044 in Watsonville, CA.

Certificate of Waiver, effective April 26, 2025, expires April 25, 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 26, 2025
Certificate expiration
April 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 26, 2023
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2280828
Lab name
South County Mobile 1f65f5dy7j0a06044
Address
45 Nielson St, Watsonville, CA 95076
Phone
(831) 728-8250
Fax
(831) 707-2777

Annual test volume the lab reported

Waived tests
550

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

Affiliated CLIA numbers

Other labs in Watsonville, CA

Related

Questions

What is the CLIA number for South County Mobile 1f65f5dy7j0a06044 in Watsonville?

05D2280828, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South County Mobile 1f65f5dy7j0a06044 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2280828 expire?

The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.

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