CLIA lab
CLIA 05D2142736: Premise Health of California Medical PC
Mountain View, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2142736 belongs to Premise Health of California Medical PC in Mountain View, CA.
Certificate of Waiver, effective April 22, 2026, expires April 21, 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
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 18, 2018
- 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
- 05D2142736
- Lab name
- Premise Health of California Medical PC
- Address
- 1674 N Shoreline Blvd, Mountain View, CA 94043
- Phone
- (888) 926-9385
- Fax
- (650) 651-1529
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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- Agah MedicalCertificate of Waiver, Physician office05D2318089
- Aleracare-Mountain ViewCertificate of Waiver, Physician office05D2298191
- Allied Laboratories, IncCertificate of Compliance, Independent05D0605512
- Arti Pediatrics, IncCertificate of Waiver, Physician office05D2086306
- Avita MDCertificate of Waiver, Physician office05D2304336
- Bay Area Men's Wellness, PC DBA Gameday Men'sCertificate of Accreditation, Physician office05D2310588
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2284677
- Carol A Somersille MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0919687
- Crossover HealthCertificate of Waiver, Physician office05D2102192
Related
Questions
What is the CLIA number for Premise Health of California Medical PC in Mountain View?
05D2142736, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of California Medical PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2142736 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.