CLIA lab
CLIA 05D2292968: Intercommunity Medical Group
Fairfield, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2292968 belongs to Intercommunity Medical Group in Fairfield, CA.
Certificate of Waiver, effective November 1, 2025, expires October 31, 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
- November 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 1, 2023
- Facility type
- Physician office
- 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
- 05D2292968
- Lab name
- Intercommunity Medical Group
- Address
- 1261 Travis Blvd Ste 320, Fairfield, CA 94533
- Phone
- (707) 423-2506
- Fax
- (707) 429-1158
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advent Healthcare Services, LLCCertificate of Waiver, Hospice05D2163666
- Bradley J. Sandler, MDCertificate of Waiver, Physician office05D2132231
- Bridge Home Health Solano LLC DBA Bridge HomeCertificate of Waiver, Home health agency05D2216817
- Bridge Hospice Solano LLC DBA Bridge HospiceCertificate of Waiver, Hospice05D2217029
- CSL Plasma, IncCertificate of Registration, Other05D2308951
- Center for Specialty Care, A Northbay AffiliateCertificate of Waiver, Physician office05D2022765
- Cfmg, Solano County Juvenile HallCertificate of Waiver, Other05D2142681
- Crepuscule Properties, IncCertificate of Waiver, Assisted living facility05D2323327
- Crestwood Crisis Stabilization ServicesCertificate of Waiver, Other05D2293351
Related
Questions
What is the CLIA number for Intercommunity Medical Group in Fairfield?
05D2292968, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intercommunity Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2292968 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.