CLIA lab
CLIA 05D2172313: Sutter Mills Peninsula Medical Center
San Mateo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2172313 belongs to Sutter Mills Peninsula Medical Center in San Mateo, CA.
Certificate of Waiver, effective September 19, 2025, expires September 18, 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
- September 19, 2025
- Certificate expiration
- September 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 19, 2019
- Facility type
- Hospital
- 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
- 05D2172313
- Lab name
- Sutter Mills Peninsula Medical Center
- Additional name
- Diabetes Research Institute
- Address
- 100 South San Mateo Drive Suite 1169, San Mateo, CA 94401
- Phone
- (650) 696-4261
- Fax
- (650) 696-4269
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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- Amae Health-San MateoCertificate of Waiver, Other practitioner05D2331816
- Amy Daniher MDCertificate of Waiver, Physician office05D0988766
- Biograph Providers of California, PCCertificate of Waiver, Physician office05D2170551
- Carbon Health Medical GroupCertificate of Waiver, Physician office05D2203158
- Caremo Plus LLCCertificate of Waiver, Home health agency05D2280458
- College of San Mateo Health CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service05D1013429
- County of San Mateo Behavorial Health and RecoveryCertificate of Waiver, Community clinic05D2333349
- Csi Medical GroupCertificate of Compliance, Physician office05D2084019
Related
Questions
What is the CLIA number for Sutter Mills Peninsula Medical Center in San Mateo?
05D2172313, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Mills Peninsula Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2172313 expire?
The CMS file lists September 18, 2027 as the certificate expiration date; the certificate took effect September 19, 2025.