CLIA lab
CLIA 05D1084387: Hacienda Outpatient Surgery Center, LLC
Pleasanton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1084387 belongs to Hacienda Outpatient Surgery Center, LLC in Pleasanton, CA.
Certificate of Waiver, effective May 21, 2026, expires May 20, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 21, 2026
- Certificate expiration
- May 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2008
- 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
- 05D1084387
- Lab name
- Hacienda Outpatient Surgery Center, LLC
- Additional name
- DBA Hacienda Surgery Center
- Address
- 4626 Willow Rd Ste 100, Pleasanton, CA 94588
- Phone
- (925) 734-6744
- Fax
- (925) 734-6769
Annual test volume the lab reported
- Waived tests
- 480
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pleasanton, CA
- A Plus Prime Care Hospice IncCertificate of Waiver, Hospice05D2211764
- Allergy and Asthma Medical GroupCertificate of Waiver, Physician office05D2202373
- American Home Health Care, LLCCertificate of Waiver, Home health agency05D1100452
- American Hospice and Home Health Care Services IncCertificate of Waiver, Home health agency05D2045120
- Apostle DiagnosticsCertificate of Accreditation, Independent05D2191922
- Attaie Home Health CareCertificate of Waiver, Home health agency05D2180340
- Axis Community HealthCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0599579
- Berman Skin Institute Medical Group IncCertificate of Compliance, Physician office05D2114564
- Bettina Zatuchni, MDCertificate of Waiver, Physician office05D1077477
- Care1 Home Health IncCertificate of Waiver, Home health agency05D2311820
Related
Questions
What is the CLIA number for Hacienda Outpatient Surgery Center, LLC in Pleasanton?
05D1084387, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hacienda Outpatient Surgery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1084387 expire?
The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.