CLIA lab
CLIA 05D2163763: San Bruno Dialysis
San Bruno, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2163763 belongs to San Bruno Dialysis in San Bruno, CA.
Certificate of Waiver, effective March 20, 2025, expires March 19, 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
- March 20, 2025
- Certificate expiration
- March 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 2019
- Facility type
- End stage renal disease dialysis facility
- 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
- 05D2163763
- Lab name
- San Bruno Dialysis
- Address
- 841 San Bruno Avenue W, San Bruno, CA 94066
- Phone
- (650) 794-1138
- Fax
- (650) 791-1125
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita San Bruno DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in San Bruno, CA
- Alphacare Home Health CorpCertificate of Waiver, Home health agency05D2319739
- Bay Area PL ServicesCertificate of Accreditation, Independent05D2179598
- Harlan Luke South, MD PC DBA Gameday Men's HealthCertificate of Accreditation, Physician office05D2319843
- Permanente Medical Group, Inc, theCertificate for Provider-Performed Microscopy Procedures, Physician office05D0689336
- Premise Health of CaliforniaCertificate of Waiver, Physician office05D2177325
- San Bruno CbocCertificate of Accreditation, Community clinic05D1058957
- San Bruno Pediatrics, IncCertificate of Waiver, Physician office05D1022247
- San Bruno Skilled NursingCertificate of Waiver, Skilled nursing or nursing facility05D0894720
- Tpmg San Bruno Mob LabCertificate of Waiver, Physician office05D1080194
Related
Questions
What is the CLIA number for San Bruno Dialysis in San Bruno?
05D2163763, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Bruno Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2163763 expire?
The CMS file lists March 19, 2027 as the certificate expiration date; the certificate took effect March 20, 2025.