CLIA lab

CLIA 05D2071350: Lake Merritt Family Practice

Alameda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2071350 belongs to Lake Merritt Family Practice in Alameda, CA.

Certificate for Provider-Performed Microscopy Procedures, effective January 10, 2026, expires January 9, 2028.

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
January 10, 2026
Certificate expiration
January 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 10, 2014
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
05D2071350
Lab name
Lake Merritt Family Practice
Address
450 Park St Ste 100B, Alameda, CA 94501
Phone
(510) 992-3104

Annual test volume the lab reported

Waived tests
400
Provider-performed microscopy tests
200
Total
600

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 Lake Merritt Family Practice in Alameda?

05D2071350, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Merritt Family Practice hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2071350 expire?

The CMS file lists January 9, 2028 as the certificate expiration date; the certificate took effect January 10, 2026.

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