CLIA lab
CLIA 05D0991615: Civic Medical Center, Inc
Fremont, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0991615 belongs to Civic Medical Center, Inc in Fremont, CA.
Certificate of Waiver, effective May 19, 2026, expires May 18, 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
- May 19, 2026
- Certificate expiration
- May 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2001
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0991615
- Lab name
- Civic Medical Center, Inc
- Address
- 2147 Mowry Ave Ste D4, Fremont, CA 94538
- Phone
- (510) 574-0800
- Fax
- (510) 574-0850
Annual test volume the lab reported
- Waived tests
- 120
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 Civic Medical Center, Inc in Fremont?
05D0991615, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Civic Medical Center, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0991615 expire?
The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.