CLIA lab
CLIA 05D0719702: Southern Indian Health Council Inc
Alpine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0719702 belongs to Southern Indian Health Council Inc in Alpine, CA.
Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 1992
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- 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
- 05D0719702
- Lab name
- Southern Indian Health Council Inc
- Address
- 4058 Willows Rd, Alpine, CA 91903
- Phone
- (619) 445-1188
- Fax
- (619) 659-8143
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Alpine, CA
- Alpine Special Treatment Center IncCertificate for Provider-Performed Microscopy Procedures, Skilled nursing or nursing facility05D0894919
- Gessner Petersen AlpineCertificate of Waiver, Physician office05D2159806
- Reach 21Certificate of Waiver, Ambulance05D2282987
- Sav-On Pharmacy #0704Certificate of Waiver, Pharmacy05D2032096
Related
Questions
What is the CLIA number for Southern Indian Health Council Inc in Alpine?
05D0719702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Indian Health Council Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0719702 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.