CLIA lab
CLIA 05D2345892: Pacific Surgery Center
Corte Madera, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2345892 belongs to Pacific Surgery Center in Corte Madera, CA.
Certificate of Waiver, effective June 18, 2026, expires June 17, 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
- June 18, 2026
- Certificate expiration
- June 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 2026
- Facility type
- Ambulatory surgery center
- 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
- 05D2345892
- Lab name
- Pacific Surgery Center
- Address
- 21 Tamal Vista Blvd Suite 103, Corte Madera, CA 94925
- Phone
- (415) 927-7660
- Fax
- (415) 927-7663
Annual test volume the lab reported
- Waived tests
- 4
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Corte Madera, CA
- Carbon Health Medical Group of California, PCCertificate of Waiver, Physician office05D2230430
- Elizabeth Lowe, MD IncCertificate of Waiver, Physician office05D2299603
- Emily Tejani MDCertificate of Waiver, Physician office05D2170003
- Precision Dermatology IncCertificate of Compliance, Physician office05D2115541
Related
Questions
What is the CLIA number for Pacific Surgery Center in Corte Madera?
05D2345892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2345892 expire?
The CMS file lists June 17, 2028 as the certificate expiration date; the certificate took effect June 18, 2026.