CLIA lab
CLIA 05D1022247: San Bruno Pediatrics, Inc
San Bruno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1022247 belongs to San Bruno Pediatrics, Inc in San Bruno, CA.
Certificate of Waiver, effective February 10, 2026, expires February 9, 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
- February 10, 2026
- Certificate expiration
- February 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2004
- 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
- 05D1022247
- Lab name
- San Bruno Pediatrics, Inc
- Address
- 1001 Sneath Lane Suite 104, San Bruno, CA 94066
- Phone
- (650) 873-4545
- Fax
- (650) 873-4544
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bay Area PL ServicesCertificate of Accreditation, Independent05D2179598
- Harlan Luke South, MD PC DBA Gameday Men's HealthCertificate of Accreditation, Physician office05D2319843
- Permanente Medical Group, Inc, theCertificate for Provider-Performed Microscopy Procedures, Physician office05D0689336
- Premise Health of CaliforniaCertificate of Waiver, Physician office05D2177325
- San Bruno CbocCertificate of Accreditation, Community clinic05D1058957
- San Bruno DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2163763
- San Bruno Skilled NursingCertificate of Waiver, Skilled nursing or nursing facility05D0894720
- Tpmg San Bruno Mob LabCertificate of Waiver, Physician office05D1080194
Related
Questions
What is the CLIA number for San Bruno Pediatrics, Inc in San Bruno?
05D1022247, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Bruno Pediatrics, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1022247 expire?
The CMS file lists February 9, 2028 as the certificate expiration date; the certificate took effect February 10, 2026.