CLIA lab
CLIA 05D1077647: Tracy Surgery Center, LLC
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1077647 belongs to Tracy Surgery Center, LLC in Tracy, CA.
Certificate of Waiver, effective December 14, 2025, expires December 13, 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 14, 2025
- Certificate expiration
- December 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2007
- Facility type
- Ambulatory surgery center
- 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
- 05D1077647
- Lab name
- Tracy Surgery Center, LLC
- Address
- 2160 W Grant Line Rd Suite 120, Tracy, CA 95377
- Phone
- (209) 836-5680
- Fax
- (209) 836-5778
Annual test volume the lab reported
- Waived tests
- 408
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Tracy, CA
- A Caring Life Home Health IncCertificate of Waiver, Home health agency05D2234142
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2192567
- Ameriprime Home Health CareCertificate of Waiver, Home health agency05D2267485
- Co Occupational Medical PartnersCertificate of Waiver, Physician office05D2194804
- Crisis Pregnancy Center of TracyCertificate of Waiver, Other05D1031050
- Delta Eye Medical Group, Inc.Certificate of Waiver, Physician office05D2060650
- Golden State DermatologyCertificate of Compliance, Physician office05D2228655
- Grant Line DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2182931
- Great Valley Home Health LLCCertificate of Waiver, Home health agency05D2181717
- Heart 2 Heart Home Health CareCertificate of Waiver, Home health agency05D2314591
Related
Questions
What is the CLIA number for Tracy Surgery Center, LLC in Tracy?
05D1077647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tracy Surgery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1077647 expire?
The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.