CLIA lab

CLIA 05D2213778: Marbella Tracy

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

CLIA number 05D2213778 belongs to Marbella Tracy in Tracy, CA.

Certificate of Waiver, effective February 16, 2025, expires February 15, 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
February 16, 2025
Certificate expiration
February 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 16, 2021
Facility type
Assisted living facility
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
05D2213778
Lab name
Marbella Tracy
Address
355 West Grant Line Road, Tracy, CA 95376
Phone
(209) 835-1000
Fax
(209) 835-1030

Annual test volume the lab reported

Waived tests
1,000

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

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Questions

What is the CLIA number for Marbella Tracy in Tracy?

05D2213778, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Marbella Tracy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2213778 expire?

The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.

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