CLIA lab

CLIA 05D2313218: Dominican Hospital

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

CLIA number 05D2313218 belongs to Dominican Hospital in Santa Cruz, CA.

Certificate of Waiver, effective October 28, 2024, expires October 27, 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
October 28, 2024
Certificate expiration
October 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2024
Facility type
Community clinic
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
05D2313218
Lab name
Dominican Hospital
Additional name
Lifestyle Mgmt and Community Wellness
Address
1555 Soquel Drive, Santa Cruz, CA 95065
Phone
(831) 457-7077

Annual test volume the lab reported

Waived tests
500

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

Affiliated CLIA numbers

Other labs in Santa Cruz, CA

Related

Questions

What is the CLIA number for Dominican Hospital in Santa Cruz?

05D2313218, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dominican Hospital hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2313218 expire?

The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.

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