CLIA lab
CLIA 05D2222405: WG Countrywood LP
Lafayette, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2222405 belongs to WG Countrywood LP in Lafayette, CA.
Certificate of Waiver, effective April 28, 2025, expires April 27, 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
- April 28, 2025
- Certificate expiration
- April 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 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
- 05D2222405
- Lab name
- WG Countrywood LP
- Address
- 1545 Pleasant Hill Rd, Lafayette, CA 94549
- Phone
- (925) 932-9910
- Fax
- (502) 779-4749
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
- Monte Nido Lake Vista LLCCertificate of Waiver, Other05D2196626
Related
Questions
What is the CLIA number for WG Countrywood LP in Lafayette?
05D2222405, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does WG Countrywood LP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2222405 expire?
The CMS file lists April 27, 2027 as the certificate expiration date; the certificate took effect April 28, 2025.