CLIA lab

CLIA 05D2104106: Cheney Home Icf-Ddn II

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

CLIA number 05D2104106 belongs to Cheney Home Icf-Ddn II in Hayward, CA.

Certificate of Waiver, effective October 27, 2025, expires October 26, 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
October 27, 2025
Certificate expiration
October 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 27, 2015
Facility type
Other
Ownership (control type)
Proprietary
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
05D2104106
Lab name
Cheney Home Icf-Ddn II
Address
2166 Boca Raton St, Hayward, CA 94545
Phone
(510) 293-0360
Fax
(510) 293-0365

Annual test volume the lab reported

Waived tests
1,500

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 Cheney Home Icf-Ddn II in Hayward?

05D2104106, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cheney Home Icf-Ddn II hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2104106 expire?

The CMS file lists October 26, 2027 as the certificate expiration date; the certificate took effect October 27, 2025.

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