CLIA lab
CLIA 05D1094609: Tri-Valley Family Medicine
Livermore, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1094609 belongs to Tri-Valley Family Medicine in Livermore, CA.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2009
- 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
- 05D1094609
- Lab name
- Tri-Valley Family Medicine
- Address
- 1133 E Stanley Blvd Ste 201, Livermore, CA 94550
- Phone
- (925) 443-9000
- Fax
- (925) 443-9009
Annual test volume the lab reported
- Waived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Careplus Home Health Care Services IncCertificate of Waiver, Home health agency05D2129743
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- Gimag Corp. DBA Gimag Home Health CareCertificate of Waiver, Home health agency05D2123525
- Gimag HealthcareCertificate of Waiver, Hospice05D2164166
Related
Questions
What is the CLIA number for Tri-Valley Family Medicine in Livermore?
05D1094609, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-Valley Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1094609 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.