CLIA lab
CLIA 05D2078661: Packard Children's Health Alliance
Capitola, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2078661 belongs to Packard Children's Health Alliance in Capitola, CA.
Certificate for Provider-Performed Microscopy Procedures, effective March 3, 2026, expires March 2, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- March 3, 2026
- Certificate expiration
- March 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 2, 2014
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D2078661
- Lab name
- Packard Children's Health Alliance
- Additional name
- DBA Stanford Children's Health
- Address
- 824 Bay Ave Ste 70, Capitola, CA 95010
- Phone
- (925) 263-5793
- Fax
- (925) 264-6512
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 40
- Total
- 140
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Capitola, CA
- Bayview Gastroenterology Medical CorpCertificate of Waiver, Physician office05D0989660
- Capitola Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2051707
- Continuum Care Hospice LLCCertificate of Waiver, Hospice05D2240617
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0918073
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0918074
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2089491
- Longs Drug Stores California, LLCCertificate of Waiver, Pharmacy05D2269055
- Odyssey Healthcare Operating A, LPCertificate of Waiver, Hospice05D2173055
- Pacific Coast ManorCertificate of Waiver, Skilled nursing or nursing facility05D0605433
- Prime Pain Medicine InstituteCertificate of Waiver, Physician office05D1094950
Related
Questions
What is the CLIA number for Packard Children's Health Alliance in Capitola?
05D2078661, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Packard Children's Health Alliance hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2078661 expire?
The CMS file lists March 2, 2028 as the certificate expiration date; the certificate took effect March 3, 2026.