CLIA lab
CLIA 05D0938704: Peninsula Pediatric Medical Group Affiliate of
Burlingame, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0938704 belongs to Peninsula Pediatric Medical Group Affiliate of in Burlingame, CA.
Certificate of Waiver, effective January 13, 2026, expires January 12, 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
- January 13, 2026
- Certificate expiration
- January 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1998
- 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
- 05D0938704
- Lab name
- Peninsula Pediatric Medical Group Affiliate of
- Additional name
- Packard Children's Health Alliance
- Address
- 1720 El Camino Real, Ste 205, Burlingame, CA 94010
- Phone
- (650) 259-5050
- Fax
- (650) 697-1317
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Burlingame, CA
- 21st Century Home Health Services IncCertificate of Waiver, Home health agency05D2105312
- Alla Skalnyi, M.D., Inc.Certificate of Waiver, Physician office05D2048603
- Amedisys Home Health CareCertificate of Waiver, Home health agency05D0878561
- American Medical Response WestCertificate of Waiver, Ambulance05D0948623
- Anne Thai MD A Professional CorporationCertificate of Compliance, Physician office05D2294332
- Anx Home HealthcareCertificate of Waiver, Home health agency05D1095085
- Bay Area Vein and Vascular CenterCertificate of Waiver, Physician office05D2004895
- Burlingame Adult Day Health Care CenterCertificate of Waiver, Other05D2289649
- Burlingame Skilled NursingCertificate of Waiver, Skilled nursing or nursing facility05D1020378
- Carelink Home Health Agency LLCCertificate of Waiver, Home health agency05D1084499
Related
Questions
What is the CLIA number for Peninsula Pediatric Medical Group Affiliate of in Burlingame?
05D0938704, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peninsula Pediatric Medical Group Affiliate of hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0938704 expire?
The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.