CLIA lab

CLIA 05D0887930: Sequoias Portola Valley

Portola Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0887930 belongs to Sequoias Portola Valley in Portola Valley, CA.

Certificate of Waiver, effective June 21, 2026, expires June 20, 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
June 21, 2026
Certificate expiration
June 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 21, 1994
Facility type
Skilled nursing or nursing facility
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
05D0887930
Lab name
Sequoias Portola Valley
Address
501 Portola Rd, Health Center, Portola Valley, CA 94028
Phone
(650) 851-1501
Fax
(650) 851-0850

Annual test volume the lab reported

Waived tests
400

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 Sequoias Portola Valley in Portola Valley?

05D0887930, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sequoias Portola Valley hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0887930 expire?

The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.

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