CLIA lab
CLIA 05D1019480: Permanente Medical Group, Inc
Daly City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1019480 belongs to Permanente Medical Group, Inc in Daly City, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 19, 2025, expires November 18, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 19, 2025
- Certificate expiration
- November 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 2003
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1019480
- Lab name
- Permanente Medical Group, Inc
- Additional name
- Hickey Mob Laboratory
- Address
- 395 Hickey Blvd, Daly City, CA 94015
- Phone
- (650) 742-3162
- Fax
- (650) 301-4428
Annual test volume the lab reported
- Provider-performed microscopy tests
- 25,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Daly City, CA
- Aavi Health IncCertificate of Waiver, Home health agency05D2319257
- Abl HealthcareCertificate of Waiver, Home health agency05D2203778
- Ahmc Seton Medical CenterCertificate of Accreditation, Hospital05D0673829
- Alliance Home HealthCertificate of Waiver, Home health agency05D2121658
- Alliance HospiceCertificate of Waiver, Hospice05D2121657
- Angelo Arcilla MDCertificate of Waiver, Physician office05D0932431
- Angelo C Arcilla, MDCertificate of Waiver, Physician office05D0942997
- Anx Hospice Care Nursing IncCertificate of Waiver, Hospice05D2100963
- Bay Area Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D0591199
- CVS Pharmacy #10165Certificate of Waiver, Pharmacy05D2229739
Related
Questions
What is the CLIA number for Permanente Medical Group, Inc in Daly City?
05D1019480, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Permanente Medical Group, Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1019480 expire?
The CMS file lists November 18, 2027 as the certificate expiration date; the certificate took effect November 19, 2025.