CLIA lab
CLIA 05D2170012: Healthy Teen Project
Los Altos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2170012 belongs to Healthy Teen Project in Los Altos, CA.
Certificate of Waiver, effective July 31, 2025, expires July 30, 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
- July 31, 2025
- Certificate expiration
- July 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2019
- Facility type
- Other
- 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
- 05D2170012
- Lab name
- Healthy Teen Project
- Address
- 919 Freemont Avenue Suite 100, Los Altos, CA 94024
- Phone
- (650) 935-4111
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Los Altos Surgery CenterCertificate of Waiver, Ambulance05D2032154
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- Molly Rad MDCertificate of Waiver, Physician office05D1000756
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- Palo Alto Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0958039
Related
Questions
What is the CLIA number for Healthy Teen Project in Los Altos?
05D2170012, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthy Teen Project hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2170012 expire?
The CMS file lists July 30, 2027 as the certificate expiration date; the certificate took effect July 31, 2025.