CLIA lab

CLIA 05D0922388: Douglas E Severance MD

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

CLIA number 05D0922388 belongs to Douglas E Severance MD in San Ramon, CA.

Certificate of Waiver, effective November 21, 2024, expires November 20, 2026.

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
November 21, 2024
Certificate expiration
November 20, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 21, 1996
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
05D0922388
Lab name
Douglas E Severance MD
Address
5601 Norris Canyon Road Suite 330, San Ramon, CA 94583
Phone
(510) 275-0400

Annual test volume the lab reported

Waived tests
99

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in San Ramon, CA

Related

Questions

What is the CLIA number for Douglas E Severance MD in San Ramon?

05D0922388, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Douglas E Severance MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0922388 expire?

The CMS file lists November 20, 2026 as the certificate expiration date; the certificate took effect November 21, 2024.

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