CLIA lab
CLIA 05D0874937: South East Bay Pediatric Medical Group
Fremont, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0874937 belongs to South East Bay Pediatric Medical Group in Fremont, CA.
Certificate for Provider-Performed Microscopy Procedures, effective July 1, 2025, expires June 30, 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
- July 1, 2025
- Certificate expiration
- June 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 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
- 05D0874937
- Lab name
- South East Bay Pediatric Medical Group
- Address
- 2191 Mowry Ave Ste 600C, Fremont, CA 94538
- Phone
- (510) 792-4373
- Fax
- (510) 792-3420
Annual test volume the lab reported
- Waived tests
- 1,923
- Provider-performed microscopy tests
- 4
- Total
- 1,927
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 South East Bay Pediatric Medical Group in Fremont?
05D0874937, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South East Bay Pediatric Medical Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0874937 expire?
The CMS file lists June 30, 2027 as the certificate expiration date; the certificate took effect July 1, 2025.