CLIA lab
CLIA 05D1069777: Kaiser Foundation Hosp-Vallejo POCT Lab
Vallejo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1069777 belongs to Kaiser Foundation Hosp-Vallejo POCT Lab in Vallejo, CA.
Certificate for Provider-Performed Microscopy Procedures, effective July 11, 2025, expires July 10, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 11, 2025
- Certificate expiration
- July 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2007
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1069777
- Lab name
- Kaiser Foundation Hosp-Vallejo POCT Lab
- Address
- Clinical Laboratory 1st Floor, 975 Sereno Dr, Vallejo, CA 94589
- Phone
- (707) 651-2109
- Fax
- (707) 651-5035
Annual test volume the lab reported
- Waived tests
- 45,000
- Provider-performed microscopy tests
- 3,568
- Total
- 48,568
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Vallejo, CA
- Adventist Health VallejoCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2299086
- C-Dat LLCCertificate of Waiver, Other05D2096179
- Carquinez DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1099284
- Comprehensive Home Health CareCertificate of Waiver, Home health agency05D2064256
- 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 Kaiser Foundation Hosp-Vallejo POCT Lab in Vallejo?
05D1069777, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kaiser Foundation Hosp-Vallejo POCT Lab hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1069777 expire?
The CMS file lists July 10, 2027 as the certificate expiration date; the certificate took effect July 11, 2025.