CLIA lab
CLIA 05D2144089: Tri Valley Surgery Center, LLC
Dublin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2144089 belongs to Tri Valley Surgery Center, LLC in Dublin, CA.
Certificate of Waiver, effective February 10, 2026, expires February 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
- February 10, 2026
- Certificate expiration
- February 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2018
- Facility type
- Ambulatory surgery center
- 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
- 05D2144089
- Lab name
- Tri Valley Surgery Center, LLC
- Address
- 11860 Dublin Blvd., Dublin, CA 94568
- Phone
- (925) 999-4049
- Fax
- (925) 230-8418
Annual test volume the lab reported
- Waived tests
- 1,000
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 Tri Valley Surgery Center, LLC in Dublin?
05D2144089, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri Valley Surgery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2144089 expire?
The CMS file lists February 9, 2028 as the certificate expiration date; the certificate took effect February 10, 2026.