CLIA lab
CLIA 05D1009216: Wivina T Urbano MD Inc
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1009216 belongs to Wivina T Urbano MD Inc in Tracy, CA.
Certificate of Waiver, effective February 10, 2025, expires February 9, 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
- February 10, 2025
- Certificate expiration
- February 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2003
- 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
- 05D1009216
- Lab name
- Wivina T Urbano MD Inc
- Additional name
- Edgewood Corporate Center
- Address
- 4600 South Tracy Blvd Suite 110, Tracy, CA 95377
- Phone
- (209) 836-4920
- Fax
- (209) 836-4935
Annual test volume the lab reported
- Waived tests
- 1,300
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 Wivina T Urbano MD Inc in Tracy?
05D1009216, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wivina T Urbano MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1009216 expire?
The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.