CLIA lab
CLIA 05D2290203: DR. Sally Pediatrics
Ventura, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2290203 belongs to DR. Sally Pediatrics in Ventura, CA.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2023
- 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
- 05D2290203
- Lab name
- DR. Sally Pediatrics
- Address
- 3454 Loma Vista Rd, Ventura, CA 93003
- Phone
- (805) 217-5644
- Fax
- (805) 317-7712
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ventura, CA
- Aegis Living of VenturaCertificate of Waiver, Assisted living facility05D2051961
- Aegis Treatment Centers LLCCertificate of Waiver, Other05D2110003
- Allergy, Asthma and Immunology Med GRPCertificate of Waiver, Physician office05D2213163
- Assisted Home CareCertificate of Waiver, Home health agency05D0937001
- Assisted Home HospiceCertificate of Waiver, Hospice05D0967788
- Aster Hospice, Inc DBA Aster HealthCertificate of Waiver, Hospice05D2319941
- Aurora Vista Del Mar HospitalCertificate of Waiver, Hospital05D0899032
- CMH Home Fund MGR LLCCertificate of Waiver, Other05D2316581
- Cardiology Associates Medical GroupCertificate of Waiver, Physician office05D0963447
- Carey Chronis, MDCertificate of Waiver, Physician office05D0988196
Related
Questions
What is the CLIA number for DR. Sally Pediatrics in Ventura?
05D2290203, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR. Sally Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2290203 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.