CLIA lab
CLIA 05D1019945: Pacific Endoscopy LLC
Atherton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1019945 belongs to Pacific Endoscopy LLC in Atherton, CA.
Certificate of Waiver, effective December 4, 2025, expires December 3, 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
- December 4, 2025
- Certificate expiration
- December 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 2003
- Facility type
- Ambulatory surgery center
- 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
- 05D1019945
- Lab name
- Pacific Endoscopy LLC
- Address
- 3351 El Camino Real Suite 220, Atherton, CA 94027
- Phone
- (650) 363-2800
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Atherton, CA
Related
Questions
What is the CLIA number for Pacific Endoscopy LLC in Atherton?
05D1019945, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Endoscopy LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1019945 expire?
The CMS file lists December 3, 2027 as the certificate expiration date; the certificate took effect December 4, 2025.