CLIA lab

CLIA 05D1006987: Packard Children's Health Alliance

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

CLIA number 05D1006987 belongs to Packard Children's Health Alliance in San Ramon, CA.

Certificate of Waiver, effective December 5, 2024, expires December 4, 2026.

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
December 5, 2024
Certificate expiration
December 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 5, 2002
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
05D1006987
Lab name
Packard Children's Health Alliance
Address
5601 Norris Canyon Rd Ste 230, San Ramon, CA 94583
Phone
(925) 277-7550
Fax
(925) 277-7555

Annual test volume the lab reported

Waived tests
750

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

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Questions

What is the CLIA number for Packard Children's Health Alliance in San Ramon?

05D1006987, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Packard Children's Health Alliance hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1006987 expire?

The CMS file lists December 4, 2026 as the certificate expiration date; the certificate took effect December 5, 2024.

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