CLIA lab

CLIA 05D0686840: Permanente Medical Group, Inc, the

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

CLIA number 05D0686840 belongs to Permanente Medical Group, Inc, the in Milpitas, 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
January 21, 1993
Facility type
Health maintenance organization
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
05D0686840
Lab name
Permanente Medical Group, Inc, the
Additional name
Milpitas Pediatrics Lab
Address
589 Los Coches, Milpitas, CA 95035
Phone
(408) 945-2770

Annual test volume the lab reported

Waived tests
12,000

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

Affiliated CLIA numbers

Other labs in Milpitas, CA

Related

Questions

What is the CLIA number for Permanente Medical Group, Inc, the in Milpitas?

05D0686840, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Permanente Medical Group, Inc, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0686840 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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