CLIA lab
CLIA 05D2167264: North East Medical Services Ellis Clinic Lab
San Francisco, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2167264 belongs to North East Medical Services Ellis Clinic Lab in San Francisco, CA.
Certificate of Waiver, effective June 5, 2025, expires June 4, 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
- June 5, 2025
- Certificate expiration
- June 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 2019
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 05D2167264
- Lab name
- North East Medical Services Ellis Clinic Lab
- Address
- 650 Polk St, San Francisco, CA 94102
- Phone
- (415) 391-9686
- Fax
- (415) 441-4787
Annual test volume the lab reported
- Waived tests
- 500
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 North East Medical Services Ellis Clinic Lab in San Francisco?
05D2167264, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North East Medical Services Ellis Clinic Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2167264 expire?
The CMS file lists June 4, 2027 as the certificate expiration date; the certificate took effect June 5, 2025.