CLIA lab

CLIA 05D1043954: Blackhawk Surgery Center

Danville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1043954 belongs to Blackhawk Surgery Center in Danville, CA.

Certificate of Waiver, effective August 8, 2025, expires August 7, 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
August 8, 2025
Certificate expiration
August 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 8, 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
05D1043954
Lab name
Blackhawk Surgery Center
Address
3600 Blackhawk Plaza Circle, Danville, CA 94506
Phone
(925) 736-5757
Fax
(925) 736-5763

Annual test volume the lab reported

Waived tests
300

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 Blackhawk Surgery Center in Danville?

05D1043954, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blackhawk Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1043954 expire?

The CMS file lists August 7, 2027 as the certificate expiration date; the certificate took effect August 8, 2025.

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