CLIA lab
CLIA 05D0921212: Clinica Alta Vista
Oakland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0921212 belongs to Clinica Alta Vista in Oakland, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 22, 2026, expires October 21, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 22, 2026
- Certificate expiration
- October 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 1996
- Facility type
- Federally qualified health center
- 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
- 05D0921212
- Lab name
- Clinica Alta Vista
- Address
- 1515 Fruitvale Ave, Oakland, CA 94601
- Phone
- (510) 535-6300
- Fax
- (510) 535-4019
Annual test volume the lab reported
- Waived tests
- 3,055
- Provider-performed microscopy tests
- 492
- Total
- 3,547
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 Clinica Alta Vista in Oakland?
05D0921212, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinica Alta Vista hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0921212 expire?
The CMS file lists October 21, 2028 as the certificate expiration date; the certificate took effect October 22, 2026.