CLIA lab
CLIA 05D1103032: Permanente Medical Group, Inc. Vacaville Mob, the
Vacaville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1103032 belongs to Permanente Medical Group, Inc. Vacaville Mob, the in Vacaville, CA.
Certificate for Provider-Performed Microscopy Procedures, effective July 31, 2025, expires July 30, 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
- July 31, 2025
- Certificate expiration
- July 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1103032
- Lab name
- Permanente Medical Group, Inc. Vacaville Mob, the
- Address
- 1 Quality Drive, Vacaville, CA 95688
- Phone
- (707) 624-1063
- Fax
- (707) 624-1062
Annual test volume the lab reported
- Provider-performed microscopy tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Vacaville, CA
- Advanced Pain Management InstituteCertificate of Waiver, Physician office05D1083858
- Alpha ClinicsCertificate of Waiver, Community clinic05D1097043
- Bradley J. Sandler M.D., IncCertificate of Waiver, Physician office05D2115997
- Bruce R Carlton, MD, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0904610
- California Medical FacilityCertificate of Waiver, Prison05D1084240
- California State Prison SolanoCertificate of Waiver, Prison05D0884537
- Creekside Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D1013577
- Grassroots Health Poc LabCertificate of Waiver, Physician office05D2330442
- Huffman MD DBA Gameday Men's HealthCertificate of Accreditation, Physician office05D2326159
- Jiva Health, IncCertificate of Waiver, Physician office05D2317935
Related
Questions
What is the CLIA number for Permanente Medical Group, Inc. Vacaville Mob, the in Vacaville?
05D1103032, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Permanente Medical Group, Inc. Vacaville Mob, the hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1103032 expire?
The CMS file lists July 30, 2027 as the certificate expiration date; the certificate took effect July 31, 2025.