CLIA lab

CLIA 05D2310730: Palm Ave Detox

San Mateo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2310730 belongs to Palm Ave Detox in San Mateo, CA.

Certificate of Waiver, effective September 9, 2026, expires September 8, 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
September 9, 2026
Certificate expiration
September 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 9, 2024
Facility type
Other
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
05D2310730
Lab name
Palm Ave Detox
Address
2251 Palm Ave, San Mateo, CA 94403
Phone
(925) 978-6864
Fax
(510) 247-8202

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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Related

Questions

What is the CLIA number for Palm Ave Detox in San Mateo?

05D2310730, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Palm Ave Detox hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2310730 expire?

The CMS file lists September 8, 2028 as the certificate expiration date; the certificate took effect September 9, 2026.

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