CLIA lab
CLIA 05D0967966: Crestwood Manor
Fremont, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0967966 belongs to Crestwood Manor in Fremont, CA.
Certificate of Waiver, effective November 29, 2025, expires November 28, 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
- November 29, 2025
- Certificate expiration
- November 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 29, 1999
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0967966
- Lab name
- Crestwood Manor
- Address
- 4303 Stevenson Blvd, Fremont, CA 94538
- Phone
- (510) 651-1244
- Fax
- (510) 651-1127
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Crestwood Manor - FremontCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Crestwood Manor in Fremont?
05D0967966, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crestwood Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0967966 expire?
The CMS file lists November 28, 2027 as the certificate expiration date; the certificate took effect November 29, 2025.