CLIA lab
CLIA 05D0722889: Lake County Tribal Health
Lakeport, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0722889 belongs to Lake County Tribal Health in Lakeport, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 17, 2024, expires December 16, 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
- December 17, 2024
- Certificate expiration
- December 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 1993
- Facility type
- Other
- Ownership (control type)
- Government, 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
- 05D0722889
- Lab name
- Lake County Tribal Health
- Address
- 925 Bevins Court, Lakeport, CA 95453
- Phone
- (707) 263-8382
- Fax
- (707) 263-5019
Annual test volume the lab reported
- Waived tests
- 5,000
- Provider-performed microscopy tests
- 500
- Total
- 5,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lakeport, CA
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D0612188
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D2155735
- County of Lake Public HealthCertificate of Waiver, Public health laboratory05D0708725
- Hospice Services of Lake CountyCertificate of Waiver, Hospice05D0930705
- Lake County JailCertificate of Waiver, Other05D2278210
- Lakeport Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0886315
- Lakeport Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0863932
- Neely Family Inc DBA North Lake Medical PharmacyCertificate of Waiver, Pharmacy05D2230288
- Redwood Family Dermatology-LakeportCertificate for Provider-Performed Microscopy Procedures, Physician office05D2331076
- Safeway Pharmacy #0983Certificate of Waiver, Pharmacy05D2058278
Related
Questions
What is the CLIA number for Lake County Tribal Health in Lakeport?
05D0722889, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake County Tribal Health hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0722889 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.