CLIA lab
CLIA 05D0955807: South County Community Health Center
East Palo Alto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0955807 belongs to South County Community Health Center in East Palo Alto, CA.
Certificate for Provider-Performed Microscopy Procedures, effective January 11, 2025, expires January 10, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 11, 2025
- Certificate expiration
- January 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1999
- 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
- 05D0955807
- Lab name
- South County Community Health Center
- Additional name
- DBA Ravenswood Family Health Center
- Address
- 1885 Bay Rd, East Palo Alto, CA 94303
- Phone
- (650) 289-7613
- Fax
- (650) 321-4552
Annual test volume the lab reported
- Provider-performed microscopy tests
- 9,000
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 South County Community Health Center in East Palo Alto?
05D0955807, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South County Community Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0955807 expire?
The CMS file lists January 10, 2027 as the certificate expiration date; the certificate took effect January 11, 2025.