CLIA lab

CLIA 05D1065614: Peninsula Healthcare Connection

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

CLIA number 05D1065614 belongs to Peninsula Healthcare Connection in Palo Alto, CA.

Certificate of Waiver, effective March 6, 2025, expires March 5, 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
March 6, 2025
Certificate expiration
March 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 6, 2007
Facility type
Community clinic
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
05D1065614
Lab name
Peninsula Healthcare Connection
Address
33 Encino Ave Ste 103, Palo Alto, CA 94301
Phone
(650) 853-0321
Fax
(650) 853-0329

Annual test volume the lab reported

Waived tests
25

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Peninsula Healthcare Connection in Palo Alto?

05D1065614, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Peninsula Healthcare Connection hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1065614 expire?

The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.

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