CLIA lab
CLIA 05D1092864: Tracy Rehabilatation and Pain Center
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1092864 belongs to Tracy Rehabilatation and Pain Center in Tracy, CA.
Certificate of Waiver, effective December 4, 2024, expires December 3, 2026.
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 4, 2024
- Certificate expiration
- December 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 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
- 05D1092864
- Lab name
- Tracy Rehabilatation and Pain Center
- Address
- 2160 W Grant Line Road, Suite 110, Tracy, CA 95377
- Phone
- (209) 830-6558
- Fax
- (209) 830-7908
Annual test volume the lab reported
- Waived tests
- 12,500
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 Rehabilatation and Pain Center in Tracy?
05D1092864, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tracy Rehabilatation and Pain Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1092864 expire?
The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.