CLIA lab
CLIA 05D1100592: Stockton Cardiology Medical Group Trac
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1100592 belongs to Stockton Cardiology Medical Group Trac in Tracy, CA.
Certificate of Waiver, effective June 9, 2025, expires June 8, 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
- June 9, 2025
- Certificate expiration
- June 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 9, 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
- 05D1100592
- Lab name
- Stockton Cardiology Medical Group Trac
- Address
- 1530 North Bessie Avenue #101, Tracy, CA 95376
- Phone
- (209) 832-0343
- Fax
- (209) 832-2515
Annual test volume the lab reported
- Waived tests
- 2,880
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Stockton Cardiology Medical Group Trac in Tracy?
05D1100592, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stockton Cardiology Medical Group Trac hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1100592 expire?
The CMS file lists June 8, 2027 as the certificate expiration date; the certificate took effect June 9, 2025.