CLIA lab
CLIA 05D2110234: Packard Children's Health Alliance
Fremont, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2110234 belongs to Packard Children's Health Alliance in Fremont, CA.
Certificate of Waiver, effective March 10, 2026, expires March 9, 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
- March 10, 2026
- Certificate expiration
- March 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 2016
- 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
- 05D2110234
- Lab name
- Packard Children's Health Alliance
- Address
- 2299 Mowry Ave Ste 2A, Fremont, CA 94538
- Phone
- (510) 788-2020
- Fax
- (510) 494-9975
Annual test volume the lab reported
- Waived tests
- 200
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 Packard Children's Health Alliance in Fremont?
05D2110234, 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 05D2110234 expire?
The CMS file lists March 9, 2028 as the certificate expiration date; the certificate took effect March 10, 2026.