CLIA lab
CLIA 05D2196626: Monte Nido Lake Vista LLC
Lafayette, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2196626 belongs to Monte Nido Lake Vista LLC in Lafayette, CA.
Certificate of Waiver, effective October 19, 2026, expires October 18, 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 19, 2026
- Certificate expiration
- October 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 2020
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2196626
- Lab name
- Monte Nido Lake Vista LLC
- Additional name
- DBA Monte Nido East Bay
- Address
- 1776 Ivanhoe Ave, Lafayette, CA 94549
- Phone
- (925) 660-0755
- Fax
- (925) 937-1484
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.
Affiliated CLIA numbers
Other labs in Lafayette, CA
- Anahat Kaur Sandhu, MD, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D1059201
- Ani L. Tajirian, MD, Inc.Certificate of Registration, Physician office05D2324844
- Christopher A Simmons, MDCertificate of Waiver, Physician office05D2292680
- East Bay Health Medical Group SPCCertificate of Waiver, Physician office05D2290526
- Evolve Treatment Centers - LafayetteCertificate of Waiver, Other05D2182544
- Faranak Fiedler, MD IncCertificate of Waiver, Physician office05D2164817
- Gurinder K. Randhawa, MDCertificate of Waiver, Physician office05D2123527
- Lamorinda PediatricsCertificate of Waiver, Physician office05D0599452
- Merrill Gardens at LafayetteCertificate of Waiver, Assisted living facility05D2214208
- Persons Plastic Surgery IncCertificate of Waiver, Ambulatory surgery center05D2204793
Related
Questions
What is the CLIA number for Monte Nido Lake Vista LLC in Lafayette?
05D2196626, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Monte Nido Lake Vista LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2196626 expire?
The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.