CLIA lab
CLIA 05D2102544: Pacific Family Medicine Clinic
Millbrae, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2102544 belongs to Pacific Family Medicine Clinic in Millbrae, CA.
Certificate of Waiver, effective September 24, 2025, expires September 23, 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
- September 24, 2025
- Certificate expiration
- September 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2015
- 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
- 05D2102544
- Lab name
- Pacific Family Medicine Clinic
- Address
- 1001 Broadway Ste 302, Millbrae, CA 94030
- Phone
- (612) 281-0062
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Millbrae, CA
Related
Questions
What is the CLIA number for Pacific Family Medicine Clinic in Millbrae?
05D2102544, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Family Medicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2102544 expire?
The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.