CLIA lab
CLIA 05D2305041: PTR Sports, A Division of Bass Medical Group
Campbell, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2305041 belongs to PTR Sports, A Division of Bass Medical Group in Campbell, CA.
Certificate of Waiver, effective May 22, 2026, expires May 21, 2028.
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
- May 22, 2026
- Certificate expiration
- May 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 22, 2024
- 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
- 05D2305041
- Lab name
- PTR Sports, A Division of Bass Medical Group
- Address
- 221 E Hacienda Ave, Ste C, Campbell, CA 95008
- Phone
- (408) 404-4700
- Fax
- (408) 404-4701
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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Related
Questions
What is the CLIA number for PTR Sports, A Division of Bass Medical Group in Campbell?
05D2305041, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PTR Sports, A Division of Bass Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2305041 expire?
The CMS file lists May 21, 2028 as the certificate expiration date; the certificate took effect May 22, 2026.