CLIA lab

CLIA 05D0965675: Adult Medicine Clinic

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

CLIA number 05D0965675 belongs to Adult Medicine Clinic in King City, CA.

Certificate of Waiver, effective March 15, 2026, expires March 14, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 15, 2026
Certificate expiration
March 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 27, 1999
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0965675
Lab name
Adult Medicine Clinic
Address
400 Canal St Ste C, King City, CA 93930
Phone
(831) 385-7200
Fax
(831) 385-7278

Annual test volume the lab reported

Waived tests
116

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

Affiliated CLIA numbers

Other labs in King City, CA

Related

Questions

What is the CLIA number for Adult Medicine Clinic in King City?

05D0965675, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Adult Medicine Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0965675 expire?

The CMS file lists March 14, 2028 as the certificate expiration date; the certificate took effect March 15, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.