CLIA lab
CLIA 05D1036771: Canyon Pinole Surgery Center
Pinole, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1036771 belongs to Canyon Pinole Surgery Center in Pinole, CA.
Certificate of Waiver, effective February 9, 2025, expires February 8, 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 9, 2025
- Certificate expiration
- February 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 9, 2005
- 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
- 05D1036771
- Lab name
- Canyon Pinole Surgery Center
- Address
- 1700 San Pablo Ave, Ste D, Pinole, CA 94564
- Phone
- (510) 724-9500
- Fax
- (510) 724-9511
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Jiva Health - PinoleCertificate of Waiver, Physician office05D2325430
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- Permanente Medical Group, Inc, theCertificate for Provider-Performed Microscopy Procedures, Community clinic05D1095305
- Pinole DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2195660
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- Tpmg Pinole LaboratoryCertificate for Provider-Performed Microscopy Procedures, Physician office05D2249483
- Walgreens 11614Certificate of Waiver, Pharmacy05D2307385
Related
Questions
What is the CLIA number for Canyon Pinole Surgery Center in Pinole?
05D1036771, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Canyon Pinole Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1036771 expire?
The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.