CLIA lab
CLIA 05D2081364: Packard Children's Health Alliance
Emeryville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2081364 belongs to Packard Children's Health Alliance in Emeryville, CA.
Certificate of Waiver, effective July 23, 2026, expires July 22, 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 of Waiver
- Certificate effective
- July 23, 2026
- Certificate expiration
- July 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 2014
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D2081364
- Lab name
- Packard Children's Health Alliance
- Address
- 6121 Hollis St Ste 2, Emeryville, CA 94608
- Phone
- (510) 587-9600
- Fax
- (510) 587-9606
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- One Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2126319
- Pain & Rehabilitative ConsultantsCertificate of Compliance, Other practitioner05D1084815
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- Stanford Health Care Emeryville ClincialCertificate of Accreditation, Ambulatory surgery center05D2127274
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Related
Questions
What is the CLIA number for Packard Children's Health Alliance in Emeryville?
05D2081364, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Packard Children's Health Alliance hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2081364 expire?
The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.