CLIA lab
CLIA 05D2293053: Avita MD
Los Altos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2293053 belongs to Avita MD in Los Altos, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 2, 2025, expires November 1, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 2, 2025
- Certificate expiration
- November 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 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
- 05D2293053
- Lab name
- Avita MD
- Address
- 827 Altos Oaks Dr Ste 4, Los Altos, CA 94024
- Phone
- (408) 495-5770
- Fax
- (650) 912-1129
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- MD2 Los AltosCertificate of Waiver, Physician office05D2274230
- Molly Rad MDCertificate of Waiver, Physician office05D1000756
- Packard Children's Health AllianceCertificate of Waiver, Physician office05D0679082
- Palo Alto Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0958039
Related
Questions
What is the CLIA number for Avita MD in Los Altos?
05D2293053, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Avita MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2293053 expire?
The CMS file lists November 1, 2027 as the certificate expiration date; the certificate took effect November 2, 2025.