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CLIA 05D2284454: Lightfully Behavorial Health - Moonbeam
Thousand Oaks, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2284454 belongs to Lightfully Behavorial Health - Moonbeam in Thousand Oaks, CA.
Certificate of Waiver, effective June 22, 2025, expires June 21, 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
- June 22, 2025
- Certificate expiration
- June 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 22, 2023
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 05D2284454
- Lab name
- Lightfully Behavorial Health - Moonbeam
- Address
- 1247 La Peresa Dr, Thousand Oaks, CA 91362
- Phone
- (424) 477-9547
- Fax
- (888) 576-2808
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 Lightfully Behavorial Health - Moonbeam in Thousand Oaks?
05D2284454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lightfully Behavorial Health - Moonbeam hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2284454 expire?
The CMS file lists June 21, 2027 as the certificate expiration date; the certificate took effect June 22, 2025.
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Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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