CLIA lab
CLIA 05D0679082: Packard Children's Health Alliance
Los Altos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0679082 belongs to Packard Children's Health Alliance in Los Altos, CA.
Certificate of Waiver, effective September 18, 2025, expires September 17, 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
- September 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D0679082
- Lab name
- Packard Children's Health Alliance
- Address
- 842 Altos Oaks Drive, Los Altos, CA 94024
- Phone
- (650) 941-0550
- Fax
- (650) 941-6751
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Packard Children's Health Alliance in Los Altos?
05D0679082, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Packard Children's Health Alliance hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0679082 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.