CLIA lab

CLIA 05D0609730: Sutter Valley Medical Foundation DBA

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

CLIA number 05D0609730 belongs to Sutter Valley Medical Foundation DBA in Lodi, CA.

Certificate for Provider-Performed Microscopy Procedures, effective June 9, 2026, expires June 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 for Provider-Performed Microscopy Procedures
Certificate effective
June 9, 2026
Certificate expiration
June 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 29, 1992
Facility type
Physician office
Ownership (control type)
Other
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
05D0609730
Lab name
Sutter Valley Medical Foundation DBA
Additional name
Sutter Valley Medical Foundation-Lodi Internal Med
Address
999 S. Fairmont Ave Suite 130, Lodi, CA 95240
Phone
(209) 366-2001
Fax
(209) 366-2024

Annual test volume the lab reported

Waived tests
1,000

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 Sutter Valley Medical Foundation DBA in Lodi?

05D0609730, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sutter Valley Medical Foundation DBA hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0609730 expire?

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

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