CLIA lab
CLIA 05D0695064: Jagdish A Patel MD
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0695064 belongs to Jagdish A Patel MD in Tracy, 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 7, 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
- 05D0695064
- Lab name
- Jagdish A Patel MD
- Address
- 644 W 12th Street, Tracy, CA 95376
- Phone
- (209) 832-8984
- Fax
- (209) 832-8988
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Related
Questions
What is the CLIA number for Jagdish A Patel MD in Tracy?
05D0695064, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jagdish A Patel MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0695064 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.