CLIA lab
CLIA 05D0931142: Tri-City Health Center
Fremont, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0931142 belongs to Tri-City Health Center in Fremont, CA.
Certificate of Waiver, effective June 1, 2026, expires May 31, 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 1, 2026
- Certificate expiration
- May 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 1997
- 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
- 05D0931142
- Lab name
- Tri-City Health Center
- Additional name
- ,
- Address
- 39500 Liberty Street, Fremont, CA 94538
- Phone
- (510) 770-8133
Annual test volume the lab reported
- Waived tests
- 6,048
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 Tri-City Health Center in Fremont?
05D0931142, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-City Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0931142 expire?
The CMS file lists May 31, 2028 as the certificate expiration date; the certificate took effect June 1, 2026.