CLIA lab
CLIA 05D1107093: California Spine Center,
Brentwood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1107093 belongs to California Spine Center, in Brentwood, CA.
Certificate of Waiver, effective May 6, 2025, expires May 5, 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
- May 6, 2025
- Certificate expiration
- May 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1107093
- Lab name
- California Spine Center,
- Additional name
- A Professional Medical Corp
- Address
- 100 Cortona Way Ste 160, Brentwood, CA 94513
- Phone
- (925) 926-0195
- Fax
- (925) 926-0194
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Brentwood, CA
- Allergy and Asthma Medical GroupCertificate of Waiver, Physician office05D2214603
- Amavi Home Health and Hospice Care Services, Inc.Certificate of Waiver, Home health agency05D2084659
- Atrium Home Health LLCCertificate of Waiver, Home health agency05D2320891
- Atrium Hospice LLCCertificate of Waiver, Hospice05D2189120
- Brentwood Smiles DentistryCertificate of Waiver, Other practitioner05D2336137
- Caring Heart Hospice IncCertificate of Waiver, Hospice05D2174357
- Cogir of BrentwoodCertificate of Waiver, Assisted living facility05D2323438
- Concentra Medical Centers - BrentwoodCertificate of Waiver, Physician office05D2068063
- Cortona Park Senior LivingCertificate of Waiver, Assisted living facility05D2212204
- Fresenius Medical Care - Diablo BrentwoodCertificate of Waiver, End stage renal disease dialysis facility05D2217604
Related
Questions
What is the CLIA number for California Spine Center, in Brentwood?
05D1107093, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does California Spine Center, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1107093 expire?
The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.