CLIA lab
CLIA 05D0614483: Marshall General Surgery
Placerville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0614483 belongs to Marshall General Surgery in Placerville, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 1993
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0614483
- Lab name
- Marshall General Surgery
- Address
- 1095 Marshall Way Ste 202, Placerville, CA 95667
- Phone
- (530) 344-5496
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Placerville, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2162086
- Berman Skin Institute Medical Group, IncCertificate of Registration, Physician office05D2178196
- Doctors Office Lab,theCertificate of Waiver, Physician office05D0899464
- El Dorado Community Health CenterCertificate of Waiver, Federally qualified health center05D1012075
- El Dorado County - PlacervilleCertificate of Waiver, Other05D2268254
- El Dorado County EMS AgencyCertificate of Waiver, Ambulance05D0867396
- El Dorado County Public Health DeptCertificate of Waiver, Community clinic05D0666562
- El Dorado County,Certificate of Waiver, Other05D2142194
- El Dorado County, Placerville Main JailCertificate of Waiver, Other05D2142193
- El Dorado Pathology Medical GroupCertificate of Accreditation, Independent05D0644136
Related
Questions
What is the CLIA number for Marshall General Surgery in Placerville?
05D0614483, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Marshall General Surgery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0614483 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.