CLIA lab
CLIA 05D0719243: Packard Children's Health Alliance-
Berkeley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0719243 belongs to Packard Children's Health Alliance- in Berkeley, CA.
Certificate for Provider-Performed Microscopy Procedures, effective May 13, 2025, expires May 12, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0719243
- Lab name
- Packard Children's Health Alliance-
- Additional name
- Bayside Medical Group
- Address
- 2915 Telegraph Avenue, Suite 200, Berkeley, CA 94705
- Phone
- (510) 497-7681
- Fax
- (650) 736-7812
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 Berkeley?
05D0719243, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Packard Children's Health Alliance- hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0719243 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.