CLIA lab
CLIA 05D1080194: Tpmg San Bruno Mob Lab
San Bruno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1080194 belongs to Tpmg San Bruno Mob Lab in San Bruno, CA.
Certificate of Waiver, effective February 15, 2026, expires February 14, 2028.
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
- February 15, 2026
- Certificate expiration
- February 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2008
- 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
- 05D1080194
- Lab name
- Tpmg San Bruno Mob Lab
- Address
- 901 El Camino Real, San Bruno, CA 94066
- Phone
- (650) 301-4629
- Fax
- (650) 301-4428
Annual test volume the lab reported
- Waived tests
- 4,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Permanente Medical Group, Inc, theCertificate for Provider-Performed Microscopy Procedures, Physician office05D0689336
- Premise Health of CaliforniaCertificate of Waiver, Physician office05D2177325
- San Bruno CbocCertificate of Accreditation, Community clinic05D1058957
- San Bruno DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2163763
- San Bruno Pediatrics, IncCertificate of Waiver, Physician office05D1022247
- San Bruno Skilled NursingCertificate of Waiver, Skilled nursing or nursing facility05D0894720
Related
Questions
What is the CLIA number for Tpmg San Bruno Mob Lab in San Bruno?
05D1080194, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tpmg San Bruno Mob Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1080194 expire?
The CMS file lists February 14, 2028 as the certificate expiration date; the certificate took effect February 15, 2026.