CLIA lab

CLIA 05D0924004: East Bay Nephrology Medical Group Inc

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

CLIA number 05D0924004 belongs to East Bay Nephrology Medical Group Inc in Oakland, CA.

Certificate of Waiver, effective April 18, 2025, expires April 17, 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 of Waiver
Certificate effective
April 18, 2025
Certificate expiration
April 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 1997
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
05D0924004
Lab name
East Bay Nephrology Medical Group Inc
Address
3043 Summit St, Oakland, CA 94609
Phone
(510) 841-4525
Fax
(510) 204-9086

Annual test volume the lab reported

Waived tests
28

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

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Questions

What is the CLIA number for East Bay Nephrology Medical Group Inc in Oakland?

05D0924004, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does East Bay Nephrology Medical Group Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0924004 expire?

The CMS file lists April 17, 2027 as the certificate expiration date; the certificate took effect April 18, 2025.

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