CLIA lab
CLIA 05D2320844: Antioch ICF Inc
Antioch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2320844 belongs to Antioch ICF Inc in Antioch, CA.
Certificate of Waiver, effective March 25, 2025, expires March 24, 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
- March 25, 2025
- Certificate expiration
- March 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2025
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 05D2320844
- Lab name
- Antioch ICF Inc
- Additional name
- DBA Putnam West Icf/Ddn
- Address
- 1228 Putnam St, Antioch, CA 94509
- Phone
- (650) 216-9960
- Fax
- (650) 216-9455
Annual test volume the lab reported
- Waived tests
- 700
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 Antioch ICF Inc in Antioch?
05D2320844, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Antioch ICF Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2320844 expire?
The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.