CLIA lab
CLIA 05D2263529: Packard Children's Health Alliance
Mill Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2263529 belongs to Packard Children's Health Alliance in Mill Valley, CA.
Certificate of Waiver, effective June 29, 2026, expires June 28, 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
- June 29, 2026
- Certificate expiration
- June 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2022
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D2263529
- Lab name
- Packard Children's Health Alliance
- Address
- 61 Camino Alto Ste 103, Mill Valley, CA 94941
- Phone
- (415) 383-0918
- Fax
- (415) 383-6909
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mill Valley, CA
- Aesthetic DermatologyCertificate of Compliance, Physician office05D0594082
- Brightstar HealthcareCertificate of Waiver, Home health agency05D2006388
- Curtis F Robinson MD IncCertificate of Waiver, Physician office05D1036905
- DRS Leonards Johnson Crosby Dab GinCertificate of Waiver, Physician office05D0674887
- David A Laub MDCertificate of Compliance, Physician office05D0937820
- Douglas E Cohen MD, IncCertificate of Waiver, Physician office05D2313215
- Energize Health and Hormones IncCertificate of Waiver, Physician office05D2337333
- Golden Gate Pediatrics, A Medical CorporationCertificate of Waiver, Physician office05D0715276
- Infusion Express of California, IncCertificate of Waiver, Other05D2309437
- Infusion for Health Mill ValleyCertificate of Waiver, Other05D2349870
Related
Questions
What is the CLIA number for Packard Children's Health Alliance in Mill Valley?
05D2263529, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Packard Children's Health Alliance hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2263529 expire?
The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.