CLIA lab
CLIA 05D0608654: Celebes Sea Holdings LLC DBA Santana Hills
San Jose, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0608654 belongs to Celebes Sea Holdings LLC DBA Santana Hills in San Jose, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0608654
- Lab name
- Celebes Sea Holdings LLC DBA Santana Hills
- Additional name
- Healthcare
- Address
- 1250 S Winchester Blvd, San Jose, CA 95128
- Phone
- (530) 209-0586
- Fax
- (858) 376-4202
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- A Grace Sub Acute & Skilled CareCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in San Jose, CA
- Aaci Health ClinicCertificate of Waiver, Federally qualified health center05D0998536
- Aasha Pediatrics IncCertificate of Waiver, Physician office05D1029763
- Action Urgent CareCertificate of Waiver, Physician office05D2058640
- Action Urgent CareCertificate of Waiver, Other05D2099601
- Action Urgent Care IncCertificate of Waiver, Physician office05D2078131
- Action Urgent Care, IncCertificate of Waiver, Other05D2078394
- Action Urgent Care, IncCertificate of Waiver, Other05D2132092
- Action Urgent Care, IncCertificate of Waiver, Other05D2136673
- Adr Kwong Kenneth YauCertificate of Waiver, Physician office05D1023078
- Adrian Ma, MD FaccCertificate of Waiver, Physician office05D0939869
Related
Questions
What is the CLIA number for Celebes Sea Holdings LLC DBA Santana Hills in San Jose?
05D0608654, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Celebes Sea Holdings LLC DBA Santana Hills hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0608654 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.