CLIA lab
CLIA 05D2288835: North East Medical Services Sullivan Clinic
Daly City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2288835 belongs to North East Medical Services Sullivan Clinic in Daly City, CA.
Certificate of Waiver, effective August 31, 2025, expires August 30, 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
- August 31, 2025
- Certificate expiration
- August 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2023
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 05D2288835
- Lab name
- North East Medical Services Sullivan Clinic
- Additional name
- Laboratory
- Address
- 1850 Sullivan Ave Ste 150, Daly City, CA 94015
- Phone
- (415) 391-9686
- Fax
- (650) 756-3476
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aavi Health IncCertificate of Waiver, Home health agency05D2319257
- Abl HealthcareCertificate of Waiver, Home health agency05D2203778
- Ahmc Seton Medical CenterCertificate of Accreditation, Hospital05D0673829
- Alliance Home HealthCertificate of Waiver, Home health agency05D2121658
- Alliance HospiceCertificate of Waiver, Hospice05D2121657
- Angelo Arcilla MDCertificate of Waiver, Physician office05D0932431
- Angelo C Arcilla, MDCertificate of Waiver, Physician office05D0942997
- Anx Hospice Care Nursing IncCertificate of Waiver, Hospice05D2100963
- Bay Area Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D0591199
- CVS Pharmacy #10165Certificate of Waiver, Pharmacy05D2229739
Related
Questions
What is the CLIA number for North East Medical Services Sullivan Clinic in Daly City?
05D2288835, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North East Medical Services Sullivan Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2288835 expire?
The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.