CLIA lab
CLIA 05D0858415: P Gill Obstetrics & Gynecology
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0858415 belongs to P Gill Obstetrics & Gynecology in Lodi, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 30, 2026, expires September 29, 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 30, 2026
- Certificate expiration
- September 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0858415
- Lab name
- P Gill Obstetrics & Gynecology
- Additional name
- Medical Group, Inc
- Address
- 999 S Fairmont Ave Ste 230, Lodi, CA 95240
- Phone
- (209) 334-4924
- Fax
- (209) 334-0127
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 100
- Total
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lodi, CA
- Adventist Health Lodi MemorialCertificate of Accreditation, Hospital05D0609686
- Adventist Health Lodi MemorialCertificate of Waiver, Community clinic05D0862779
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D0885857
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2035089
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2095753
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1097139
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2120316
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2341365
- Adventist Health Physicians Network - Cancer CareCertificate of Waiver, Physician office05D2212313
- Adventist Health Physicians Network - Lodi UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D2154128
Related
Questions
What is the CLIA number for P Gill Obstetrics & Gynecology in Lodi?
05D0858415, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does P Gill Obstetrics & Gynecology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0858415 expire?
The CMS file lists September 29, 2028 as the certificate expiration date; the certificate took effect September 30, 2026.