CLIA lab
CLIA 05D1041279: UCSF Pediatric Specialties Practice
Greenbrae, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1041279 belongs to UCSF Pediatric Specialties Practice in Greenbrae, CA.
Certificate of Waiver, effective May 27, 2025, expires May 26, 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
- May 27, 2025
- Certificate expiration
- May 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 2005
- Facility type
- Ancillary test site
- Ownership (control type)
- Government, other
- 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
- 05D1041279
- Lab name
- UCSF Pediatric Specialties Practice
- Address
- 1300 South Eliseo Drive #204, Greenbrae, CA 94904
- Phone
- (415) 353-8628
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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Related
Questions
What is the CLIA number for UCSF Pediatric Specialties Practice in Greenbrae?
05D1041279, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does UCSF Pediatric Specialties Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1041279 expire?
The CMS file lists May 26, 2027 as the certificate expiration date; the certificate took effect May 27, 2025.