CLIA lab
CLIA 05D2126191: Provident Primary Care Inc
Merced, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2126191 belongs to Provident Primary Care Inc in Merced, CA.
Certificate of Waiver, effective February 21, 2025, expires February 20, 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
- February 21, 2025
- Certificate expiration
- February 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2017
- 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
- 05D2126191
- Lab name
- Provident Primary Care Inc
- Address
- 3349 G St Ste C, Merced, CA 95340
- Phone
- (209) 580-4638
- Fax
- (209) 580-4163
Annual test volume the lab reported
- Waived tests
- 651
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anberry Transitional CareCertificate of Waiver, Skilled nursing or nursing facility05D2105846
- AspiranetCertificate of Waiver, Other05D2288770
- Aura Healthcare LLCCertificate of Waiver, Home health agency05D2321524
- Brandon Boggs MD IncCertificate of Waiver, Physician office05D2347919
- Bristol Hospice - California, LLCCertificate of Waiver, Hospice05D1058664
- CF Merced Behavioral, LLCCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0910479
- Carolyn Comilang, MDCertificate of Waiver, Physician office05D0698259
- Central Star Crisis Residential UnitCertificate of Waiver, Other05D2164138
Related
Questions
What is the CLIA number for Provident Primary Care Inc in Merced?
05D2126191, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Provident Primary Care Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2126191 expire?
The CMS file lists February 20, 2027 as the certificate expiration date; the certificate took effect February 21, 2025.