CLIA lab
CLIA 05D0643847: Providence Pavilion Laboratory of Absmc
Oakland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0643847 belongs to Providence Pavilion Laboratory of Absmc in Oakland, CA.
Certificate of Waiver, effective October 30, 2025, expires October 29, 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
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 1992
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0643847
- Lab name
- Providence Pavilion Laboratory of Absmc
- Address
- 3100 Summit St, Oakland, CA 94609
- Phone
- (510) 332-6827
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Oakland, CA
- Accurate C&S Services, IncCertificate of Waiver, Other05D2230003
- Addiction Research & Treatment IncCertificate of Waiver, Other05D0713916
- Adeline Street Recuperative CareCertificate of Waiver, Federally qualified health center05D2219994
- Affiliates in Dermatology Med GRP IncCertificate of Compliance, Physician office05D0597288
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2299115
- Alameda County Community Food BankCertificate of Waiver, Health fair05D2102619
- Alameda County DialysisCertificate of Waiver, End stage renal disease dialysis facility05D0917089
- Alameda County Health CareCertificate of Waiver, Federally qualified health center05D2054186
- Alameda County Public HealthCertificate of Compliance, Public health laboratory05D2090025
- Alameda Health System - Highland CampusCertificate of Accreditation, Hospital05D0601817
Related
Questions
What is the CLIA number for Providence Pavilion Laboratory of Absmc in Oakland?
05D0643847, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Pavilion Laboratory of Absmc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0643847 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.