CLIA lab
CLIA 05D2196681: Private Medical
Menlo Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2196681 belongs to Private Medical in Menlo Park, CA.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 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
- 05D2196681
- Lab name
- Private Medical
- Address
- 3500 Alameda De La Pulgas, Suite 200, Menlo Park, CA 94025
- Phone
- (650) 815-9577
- Fax
- (650) 289-0166
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Menlo Park, CA
- Addiction Research and Treatment, IncCertificate of Waiver, Other05D2034723
- Atherton HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D1107543
- Billiontoone IncCertificate of Accreditation, Independent05D2275351
- Burgess Pediatrics, Inc.Certificate of Waiver, Physician office05D2205745
- CVS Pharmacy #09330Certificate of Waiver, Pharmacy05D2224341
- Care Indeed Home Health Care, IncCertificate of Waiver, Home health agency05D2158367
- Ccrm San Francisco, LLCCertificate of Accreditation, Physician office05D2139767
- Center for Discovery Menlo ParkCertificate of Waiver, Other05D2075877
- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office05D2045284
- Crossover Health Medical Group, ApcCertificate of Waiver, Physician office05D2198894
Related
Questions
What is the CLIA number for Private Medical in Menlo Park?
05D2196681, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Private Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2196681 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.