CLIA lab
CLIA 05D0975501: Pacific Grove Family Medicine Inc
Pacific Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0975501 belongs to Pacific Grove Family Medicine Inc in Pacific Grove, CA.
Certificate of Waiver, effective July 10, 2026, expires July 9, 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
- July 10, 2026
- Certificate expiration
- July 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 10, 2000
- 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
- 05D0975501
- Lab name
- Pacific Grove Family Medicine Inc
- Address
- 621 Forest Ave, Pacific Grove, CA 93950
- Phone
- (831) 649-1011
- Fax
- (831) 373-8201
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pacific Grove, CA
- Canterbury WoodsCertificate of Waiver, Skilled nursing or nursing facility05D0590831
- Castlewood West LLC DBA AlsanaCertificate of Waiver, Other05D2171373
- Forest Hill Manor Health CenterCertificate of Waiver, Skilled nursing or nursing facility05D2017325
- Pebble Beach Health & Wellness CenterCertificate of Waiver, Physician office05D0880731
- Safeway Pharmacy #0761Certificate of Waiver, Pharmacy05D2059199
- Sierra Health and Wellness Center -Pacific GroveCertificate of Waiver, Other05D2267993
Related
Questions
What is the CLIA number for Pacific Grove Family Medicine Inc in Pacific Grove?
05D0975501, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Grove Family Medicine Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0975501 expire?
The CMS file lists July 9, 2028 as the certificate expiration date; the certificate took effect July 10, 2026.