CLIA lab
CLIA 05D1061888: Wellbound of Vallejo, LLC
Vallejo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1061888 belongs to Wellbound of Vallejo, LLC in Vallejo, CA.
Certificate of Waiver, effective November 29, 2024, expires November 28, 2026.
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
- November 29, 2024
- Certificate expiration
- November 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 29, 2006
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D1061888
- Lab name
- Wellbound of Vallejo, LLC
- Address
- 480 Redwood St Ste 40, Vallejo, CA 94590
- Phone
- (707) 556-3070
- Fax
- (707) 556-3075
Annual test volume the lab reported
- Waived tests
- 125
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- SHC WB VallejoCMS Care Compare ratings for the facility at the same street address
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- Concepcion and Lim, MD Family Practice, P CCertificate for Provider-Performed Microscopy Procedures, Physician office05D0997744
- Crestwood Behavioral Health Inc. - Solano PHFCertificate of Waiver, Other05D2284452
- Csu - Cal Poly Maritime Solano, Student HealthCertificate of Waiver, School or student health service05D1063140
- Curtola Home TrainingCertificate of Waiver, End stage renal disease dialysis facility05D2139860
- East Bay Nephrology Medical Group IncCertificate of Waiver, Physician office05D0701826
- Greenfields I ICF DDNCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0987253
Related
Questions
What is the CLIA number for Wellbound of Vallejo, LLC in Vallejo?
05D1061888, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellbound of Vallejo, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1061888 expire?
The CMS file lists November 28, 2026 as the certificate expiration date; the certificate took effect November 29, 2024.