CLIA lab

CLIA 05D0612179: Sutter Lakeside Hospital

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

CLIA number 05D0612179 belongs to Sutter Lakeside Hospital in Lakeport, CA.

Certificate of Accreditation, effective December 1, 2024, expires November 30, 2026.

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 Accreditation
Certificate effective
December 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Hospital
Ownership (control type)
Other
Lab classification
CLIA laboratory
Accrediting organizations
The Joint Commission
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0612179
Lab name
Sutter Lakeside Hospital
Address
5176 Hill Rd E, Lakeport, CA 95453
Phone
(707) 262-5011
Fax
(707) 262-5012

Annual test volume the lab reported

Tests under accreditation
362,920

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Affiliated CLIA numbers

Other labs in Lakeport, CA

Related

Questions

What is the CLIA number for Sutter Lakeside Hospital in Lakeport?

05D0612179, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sutter Lakeside Hospital hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 05D0612179 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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