CLIA lab
CLIA 05D2068054: Blackhawk Medical Clinic
Danville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2068054 belongs to Blackhawk Medical Clinic in Danville, 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, 2013
- 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
- 05D2068054
- Lab name
- Blackhawk Medical Clinic
- Address
- 3424 Camino Tassajara Rd, Danville, CA 94506
- Phone
- (925) 309-2700
- Fax
- (925) 309-2701
Annual test volume the lab reported
- Waived tests
- 9,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Danville, CA
- Blackhawk Medical GroupCertificate of Waiver, Physician office05D0924052
- Blackhawk Surgery CenterCertificate of Waiver, Ambulatory surgery center05D1043954
- Boghossian VisionCertificate of Waiver, Physician office05D2063966
- Brookdale DanvilleCertificate of Waiver, Assisted living facility05D2212192
- Brookdale Diablo LodgeCertificate of Waiver, Assisted living facility05D2222394
- Crow Canyon Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2211391
- Danville Pediatrics, A Div of Bass MedicalCertificate of Waiver, Physician office05D2078061
- Danville Post Acute RehabilitationCertificate of Waiver, Skilled nursing or nursing facility05D0910146
- East Bay Cardiovascular and Thoracic AssocCertificate of Waiver, Ambulatory surgery center05D2050695
- Evolve Treatment Centers DanvilleCertificate of Waiver, Other05D2170890
Related
Questions
What is the CLIA number for Blackhawk Medical Clinic in Danville?
05D2068054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blackhawk Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2068054 expire?
The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.