CLIA lab
CLIA 05D0689336: Permanente Medical Group, Inc, the
San Bruno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0689336 belongs to Permanente Medical Group, Inc, the in San Bruno, CA.
Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 1993
- 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
- 05D0689336
- Lab name
- Permanente Medical Group, Inc, the
- Additional name
- Bayhill Laboratory
- Address
- 801 Traeger Ave Ste 310, San Bruno, CA 94066
- Phone
- (650) 742-2613
- Fax
- (650) 742-2572
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
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 Permanente Medical Group, Inc, the in San Bruno?
05D0689336, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Permanente Medical Group, Inc, the hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0689336 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.