CLIA lab

CLIA 05D2123996: Tpmg Scotts Valley Laboratory

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

CLIA number 05D2123996 belongs to Tpmg Scotts Valley Laboratory in Scotts Valley, CA.

Certificate for Provider-Performed Microscopy Procedures, effective January 6, 2025, expires January 5, 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 for Provider-Performed Microscopy Procedures
Certificate effective
January 6, 2025
Certificate expiration
January 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2017
Facility type
Ancillary test site
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2123996
Lab name
Tpmg Scotts Valley Laboratory
Address
5615 Scotts Valley Dr, Scotts Valley, CA 95066
Phone
(408) 972-7616
Fax
(408) 972-6003

Annual test volume the lab reported

Waived tests
7,914
Provider-performed microscopy tests
100
Total
8,014

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

Affiliated CLIA numbers

Other labs in Scotts Valley, CA

Related

Questions

What is the CLIA number for Tpmg Scotts Valley Laboratory in Scotts Valley?

05D2123996, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tpmg Scotts Valley Laboratory hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2123996 expire?

The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.

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