CLIA lab
CLIA 05D1039682: Acacia Family Medical Group
Prunedale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1039682 belongs to Acacia Family Medical Group in Prunedale, CA.
Certificate for Provider-Performed Microscopy Procedures, effective April 19, 2025, expires April 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
- April 19, 2025
- Certificate expiration
- April 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 2005
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D1039682
- Lab name
- Acacia Family Medical Group
- Address
- 8036 San Miguel Cyn Rd, Prunedale, CA 93907
- Phone
- (831) 663-0123
- Fax
- (831) 663-8963
Related
Questions
What is the CLIA number for Acacia Family Medical Group in Prunedale?
05D1039682, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Acacia Family Medical Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1039682 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.