CLIA lab
CLIA 05D0684018: Peach Tree Clinic Laboratory
Marysville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0684018 belongs to Peach Tree Clinic Laboratory in Marysville, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 13, 2025, expires September 12, 2027.
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
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0684018
- Lab name
- Peach Tree Clinic Laboratory
- Address
- 5730 Packard Ave Ste 600, Marysville, CA 95901
- Phone
- (530) 741-6245
- Fax
- (530) 749-3248
Annual test volume the lab reported
- Waived tests
- 20,000
- Provider-performed microscopy tests
- 2,000
- Total
- 22,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Marysville, CA
- Adventist Health and RideoutCertificate of Accreditation, Hospital05D0616890
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973367
- Chuk Ndulue MDCertificate of Waiver, Physician office05D0947537
- Cvs/Pharmacy #09691Certificate of Waiver, Pharmacy05D2269056
- Freedom Home HealthCertificate of Waiver, Home health agency05D2080721
- Fremont - Rideout Cancer CenterCertificate of Waiver, Other05D2098303
- Fremont Rideout Health Group Cardiac RehabCertificate of Waiver, Ancillary test site05D1106155
- Harmony Health Medical ClinicCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center05D0960808
- Jasbir S Kang, MD & Sanjiv Midha, MDCertificate of Waiver, Rural health clinic05D2024800
- Marysville Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D1077522
Related
Questions
What is the CLIA number for Peach Tree Clinic Laboratory in Marysville?
05D0684018, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peach Tree Clinic Laboratory hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0684018 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.