CLIA lab
CLIA 05D0677283: Banner Lassen Medical Center
Susanville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0677283 belongs to Banner Lassen Medical Center in Susanville, CA.
Certificate of Accreditation, effective November 4, 2024, expires November 3, 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
- November 4, 2024
- Certificate expiration
- November 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 1993
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0677283
- Lab name
- Banner Lassen Medical Center
- Address
- 1800 Spring Ridge Dr, Banner Lassen Medical Center Laboratory, Susanville, CA 96130
- Phone
- (530) 252-2193
- Fax
- (530) 252-2196
Annual test volume the lab reported
- Waived tests
- 9,000
- Tests under accreditation
- 331,370
- Total
- 340,370
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Banner Lassen Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Susanville, CA
- Banner HealthCertificate for Provider-Performed Microscopy Procedures, Physician office05D2119306
- CF Susanville, LLCCertificate of Waiver, Skilled nursing or nursing facility05D0671777
- Diamond View VA ClinicCertificate of Accreditation, Community clinic05D2028005
- Hal Meadows MDCertificate of Waiver, Physician office05D0618634
- High Desert State Prison LaboratoryCertificate of Waiver, Other05D0912539
- Keith Mark Gross MD IncCertificate of Compliance, Physician office05D2024231
- Lassen County Public Health DepartmentCertificate of Waiver, Public health laboratory05D0707206
- Lassen Indian Health CenterCertificate of Waiver, Other05D0684082
- Northeastern Rural Health ClinicsCertificate of Waiver, Federally qualified health center05D0618660
- Walgreens 10421Certificate of Waiver, Pharmacy05D2308164
Related
Questions
What is the CLIA number for Banner Lassen Medical Center in Susanville?
05D0677283, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Lassen Medical Center hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D0677283 expire?
The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.