CLIA lab

CLIA 05D2096076: Davis Street Community Center Inc

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

CLIA number 05D2096076 belongs to Davis Street Community Center Inc in San Leandro, CA.

Certificate of Waiver, effective May 14, 2025, expires May 13, 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
May 14, 2025
Certificate expiration
May 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 14, 2015
Facility type
Federally qualified health center
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
05D2096076
Lab name
Davis Street Community Center Inc
Address
3081 Teagarden St, San Leandro, CA 94577
Phone
(510) 347-4620

Annual test volume the lab reported

Waived tests
6,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in San Leandro, CA

Related

Questions

What is the CLIA number for Davis Street Community Center Inc in San Leandro?

05D2096076, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Davis Street Community Center Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2096076 expire?

The CMS file lists May 13, 2027 as the certificate expiration date; the certificate took effect May 14, 2025.

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