CLIA lab
CLIA 05D2290948: Ivy Park at San Ramon
San Ramon, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2290948 belongs to Ivy Park at San Ramon in San Ramon, CA.
Certificate of Waiver, effective October 3, 2025, expires October 2, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 3, 2025
- Certificate expiration
- October 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2023
- 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
- 05D2290948
- Lab name
- Ivy Park at San Ramon
- Address
- 9199 Fircrest Lane, San Ramon, CA 94583
- Phone
- (530) 227-5738
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Ramon, CA
- Accentcare Home Health of Ca - San RamonCertificate of Waiver, Home health agency05D0721259
- Advanced Dermatology Care IncCertificate of Compliance, Physician office05D2007864
- Aesthetic Physicians of California IncCertificate of Waiver, Physician office05D2193534
- Affiliates in DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D0967521
- Allergy & Asthma Medical Group of the Bay AreaCertificate of Waiver, Physician office05D2214598
- Allergy & Asthma Medical Group of the Bay Area, inCertificate of Waiver, Physician office05D2343061
- Ambulatory Surgery Center at San RamonCertificate of Waiver, Ambulatory surgery center05D2129968
- Bay Hospice Care, IncCertificate of Waiver, Hospice05D2277723
- CvhcareCertificate of Waiver, Home health agency05D1052270
- Diablo Family Physicians, A Division of BassCertificate of Waiver, Physician office05D1033873
Related
Questions
What is the CLIA number for Ivy Park at San Ramon in San Ramon?
05D2290948, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ivy Park at San Ramon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2290948 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.