CLIA lab
CLIA 05D1091036: Laguna ICF
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1091036 belongs to Laguna ICF in Tracy, CA.
Certificate of Waiver, effective October 23, 2024, expiration date October 22, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 23, 2024
- Certificate expiration
- October 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2008
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D1091036
- Lab name
- Laguna ICF
- Address
- 294 Laguna Drive, Tracy, CA 95376
- Phone
- (209) 835-0824
- Fax
- (209) 832-5990
Annual test volume the lab reported
- Waived tests
- 1,000
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 Laguna ICF in Tracy?
05D1091036, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Laguna ICF hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1091036 expire?
The CMS file lists October 22, 2026 as the certificate expiration date; the certificate took effect October 23, 2024.