CLIA lab
CLIA 05D1077550: Tiffany Gorman, MD
Campbell, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1077550 belongs to Tiffany Gorman, MD in Campbell, CA.
Certificate of Waiver, effective December 12, 2025, expires December 11, 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
- December 12, 2025
- Certificate expiration
- December 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 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
- 05D1077550
- Lab name
- Tiffany Gorman, MD
- Address
- 221 E Hacienda Ave, Ste B, Campbell, CA 95008
- Phone
- (408) 376-3350
- Fax
- (408) 374-4130
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Calpath Medical AssociatesCertificate of Compliance, Independent05D0858234
- Campbell Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2091236
- Carbon Health Medical Group of California,Certificate of Waiver, Physician office05D2192520
- Cep America - CaliforniaCertificate for Provider-Performed Microscopy Procedures, Physician office05D0894313
- Children's Recovery Center LaboratoryCertificate of Waiver, Hospital05D0932970
- Family Medicine Associates CampbellCertificate of Waiver, Physician office05D0606137
- Hill Vascular and Vein CenterCertificate of Waiver, Other05D2213048
Related
Questions
What is the CLIA number for Tiffany Gorman, MD in Campbell?
05D1077550, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tiffany Gorman, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1077550 expire?
The CMS file lists December 11, 2027 as the certificate expiration date; the certificate took effect December 12, 2025.