CLIA lab
CLIA 05D1107096: Californina Spine Center,
Walnut Creek, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1107096 belongs to Californina Spine Center, in Walnut Creek, CA.
Certificate of Waiver, effective October 28, 2025, expires October 27, 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
- October 28, 2025
- Certificate expiration
- October 27, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1107096
- Lab name
- Californina Spine Center,
- Additional name
- A Professional Medical Corp
- Address
- 2123 Ygnacio Valley Rd, Bldg K Ste 200, Walnut Creek, CA 94598
- Phone
- (925) 926-0195
- Fax
- (925) 926-0194
Annual test volume the lab reported
- Waived tests
- 1,780
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Walnut Creek, CA
- Alameda Care HospiceCertificate of Waiver, Hospice05D2335108
- Allergy and Asthma Midecal Group of the Bay AreaCertificate of Waiver, Physician office05D2194729
- Allergy and Astma Medical GroupCertificate of Waiver, Physician office05D0993348
- Anthony Bernens, MD A Div of Bass Med GroupCertificate of Waiver, Physician office05D2098537
- Aspen Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center05D1076006
- Athome Healthcare Team-East Bay, LLCCertificate of Waiver, Home health agency05D2163719
- Balanced Pain ManagementCertificate of Waiver, Physician office05D1085771
- Barry Rotman, MD, IncCertificate of Waiver, Physician office05D1078781
- Bass Cancer Center, A Division of Bass Medical GroCertificate of Waiver, Independent05D2298440
- Bay Area Retina AssociatesCertificate of Waiver, Physician office05D1069402
Related
Questions
What is the CLIA number for Californina Spine Center, in Walnut Creek?
05D1107096, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Californina Spine Center, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1107096 expire?
The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.