CLIA lab
CLIA 05D2284789: Packard Childrens Health Alliance
Los Gatos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2284789 belongs to Packard Childrens Health Alliance in Los Gatos, CA.
Certificate of Waiver, effective June 28, 2025, expires June 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
- June 28, 2025
- Certificate expiration
- June 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2023
- 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
- 05D2284789
- Lab name
- Packard Childrens Health Alliance
- Address
- 14651 S Bascom Ave Auite 200, Los Gatos, CA 95032
- Phone
- (408) 356-9900
- Fax
- (408) 356-9939
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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- Bruce I Lerman, DPM, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0910540
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- Care for the Bay AreaCertificate of Accreditation, Physician office05D2027865
Related
Questions
What is the CLIA number for Packard Childrens Health Alliance in Los Gatos?
05D2284789, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Packard Childrens Health Alliance hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2284789 expire?
The CMS file lists June 27, 2027 as the certificate expiration date; the certificate took effect June 28, 2025.