CLIA lab
CLIA 05D2325760: Fomat Medical Research Santa Maria
Santa Maria, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2325760 belongs to Fomat Medical Research Santa Maria in Santa Maria, CA.
Certificate of Waiver, effective June 19, 2025, expires June 18, 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 19, 2025
- Certificate expiration
- June 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 19, 2025
- 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
- 05D2325760
- Lab name
- Fomat Medical Research Santa Maria
- Address
- 22 S Palisade Dr Nsuite 102, Santa Maria, CA 93454
- Phone
- (906) 203-2975
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.
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- Central Coast Family Care MedicalCertificate for Provider-Performed Microscopy Procedures, Physician office05D0587426
Related
Questions
What is the CLIA number for Fomat Medical Research Santa Maria in Santa Maria?
05D2325760, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fomat Medical Research Santa Maria hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2325760 expire?
The CMS file lists June 18, 2027 as the certificate expiration date; the certificate took effect June 19, 2025.