CLIA lab

CLIA 05D2194732: Peninsula Doctor

Menlo Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2194732 belongs to Peninsula Doctor in Menlo Park, CA.

Certificate of Waiver, effective October 2, 2026, expires October 1, 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
October 2, 2026
Certificate expiration
October 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 2, 2020
Facility type
Physician office
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
05D2194732
Lab name
Peninsula Doctor
Address
401 Burgess Dr Suite A, Menlo Park, CA 94025
Phone
(650) 800-3365
Fax
(650) 252-0043

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Menlo Park, CA

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Questions

What is the CLIA number for Peninsula Doctor in Menlo Park?

05D2194732, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Peninsula Doctor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2194732 expire?

The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.

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