CLIA lab
CLIA 05D0698619: Bruce Blackhart MD
Oakdale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0698619 belongs to Bruce Blackhart MD in Oakdale, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 2, 2024, expires November 1, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 2, 2024
- Certificate expiration
- November 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D0698619
- Lab name
- Bruce Blackhart MD
- Address
- 1425 West H St, Suite 200, Oakdale, CA 95361
- Phone
- (209) 848-1005
- Fax
- (209) 845-8918
Annual test volume the lab reported
- Waived tests
- 740
- Provider-performed microscopy tests
- 1,250
- Total
- 1,990
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Oakdale, CA
- Andres A Arellano MDCertificate of Waiver, Physician office05D0954552
- Chaitanya N Mahida, MD IncCertificate of Waiver, Physician office05D0863917
- David A Olson, MD A Professional CorporationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0671708
- Lee J Horwitz, MDCertificate of Waiver, Physician office05D2291596
- Norman Chock MD IncCertificate of Waiver, Physician office05D0610790
- Oak Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0714735
- Oak Valley Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D1104049
- Oak Valley HospitalCertificate of Accreditation, Hospital05D0610809
- Oak Valley Hospital DistrictCertificate of Waiver, Ambulance05D2263511
- Oakdale Kidney Center, LLCCertificate of Waiver, End stage renal disease dialysis facility05D0965022
Related
Questions
What is the CLIA number for Bruce Blackhart MD in Oakdale?
05D0698619, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bruce Blackhart MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0698619 expire?
The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.