CLIA lab
CLIA 05D1095305: Permanente Medical Group, Inc, the
Pinole, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1095305 belongs to Permanente Medical Group, Inc, the in Pinole, CA.
Certificate for Provider-Performed Microscopy Procedures, effective February 5, 2025, expires February 4, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 5, 2025
- Certificate expiration
- February 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2009
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 7
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1095305
- Lab name
- Permanente Medical Group, Inc, the
- Additional name
- Pinole Mob Ppmp Laboratory
- Address
- 1301 Pinole Valley Road, Pinole, CA 94564
- Phone
- (510) 307-1770
- Fax
- (510) 307-1868
Annual test volume the lab reported
- Waived tests
- 5,000
- Provider-performed microscopy tests
- 10,000
- Total
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pinole, CA
- Bay Area Laser Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2024723
- Canyon Pinole Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1036771
- Cvs/Pharmacy #09299Certificate of Waiver, Pharmacy05D2269065
- GlotoxmdCertificate of Waiver, Physician office05D2320792
- Jiva Health - PinoleCertificate of Waiver, Physician office05D2325430
- Packard Children's Health AllianceCertificate of Waiver, Physician office05D0897723
- Pinole DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2195660
- Stanford Medicine PartnersCertificate for Provider-Performed Microscopy Procedures, Physician office05D0910034
- Tpmg Pinole LaboratoryCertificate for Provider-Performed Microscopy Procedures, Physician office05D2249483
- Walgreens 11614Certificate of Waiver, Pharmacy05D2307385
Related
Questions
What is the CLIA number for Permanente Medical Group, Inc, the in Pinole?
05D1095305, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Permanente Medical Group, Inc, the hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1095305 expire?
The CMS file lists February 4, 2027 as the certificate expiration date; the certificate took effect February 5, 2025.