CLIA lab
CLIA 05D0880562: La Clinica Vallejo Medical
Vallejo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0880562 belongs to La Clinica Vallejo Medical in Vallejo, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 16, 2025, expires December 15, 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
- December 16, 2025
- Certificate expiration
- December 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 1993
- Facility type
- Community clinic
- Ownership (control type)
- Other
- 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
- 05D0880562
- Lab name
- La Clinica Vallejo Medical
- Address
- 415 Georgia St, Vallejo, CA 94590
- Phone
- (707) 556-8100
- Fax
- (510) 535-4189
Annual test volume the lab reported
- Waived tests
- 5,831
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Vallejo, CA
- Adventist Health VallejoCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2299086
- C-Dat LLCCertificate of Waiver, Other05D2096179
- Carquinez DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1099284
- Comprehensive Home Health CareCertificate of Waiver, Home health agency05D2064256
- Concepcion and Lim, MD Family Practice, P CCertificate for Provider-Performed Microscopy Procedures, Physician office05D0997744
- Crestwood Behavioral Health Inc. - Solano PHFCertificate of Waiver, Other05D2284452
- Csu - Cal Poly Maritime Solano, Student HealthCertificate of Waiver, School or student health service05D1063140
- Curtola Home TrainingCertificate of Waiver, End stage renal disease dialysis facility05D2139860
- East Bay Nephrology Medical Group IncCertificate of Waiver, Physician office05D0701826
- Greenfields I ICF DDNCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0987253
Related
Questions
What is the CLIA number for La Clinica Vallejo Medical in Vallejo?
05D0880562, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does La Clinica Vallejo Medical hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0880562 expire?
The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.