CLIA lab
CLIA 05D1068684: Northern California Retina Vitreous
Mountain View, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1068684 belongs to Northern California Retina Vitreous in Mountain View, CA.
Certificate of Waiver, effective May 18, 2025, expires May 17, 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 18, 2025
- Certificate expiration
- May 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 2007
- Facility type
- Physician office
- 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
- 05D1068684
- Lab name
- Northern California Retina Vitreous
- Additional name
- Associates
- Address
- 2495 Hospital Drive, Suite 545, Mountain View, CA 94040
- Phone
- (650) 988-7480
- Fax
- (650) 988-7482
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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- Aleracare-Mountain ViewCertificate of Waiver, Physician office05D2298191
- Allied Laboratories, IncCertificate of Compliance, Independent05D0605512
- Arti Pediatrics, IncCertificate of Waiver, Physician office05D2086306
- Avita MDCertificate of Waiver, Physician office05D2304336
- Bay Area Men's Wellness, PC DBA Gameday Men'sCertificate of Accreditation, Physician office05D2310588
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2284677
- Carol A Somersille MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0919687
- Crossover HealthCertificate of Waiver, Physician office05D2102192
Related
Questions
What is the CLIA number for Northern California Retina Vitreous in Mountain View?
05D1068684, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northern California Retina Vitreous hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1068684 expire?
The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.