CLIA lab
CLIA 05D0892413: Peach Tree Clinic
Live Oak, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0892413 belongs to Peach Tree Clinic in Live Oak, CA.
Certificate of Waiver, effective September 29, 2026, expires September 28, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 29, 2026
- Certificate expiration
- September 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 1994
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 05D0892413
- Lab name
- Peach Tree Clinic
- Additional name
- DBA Live Oak Medical Clinic
- Address
- 9980 Live Oak Blvd, Live Oak, CA 95953
- Phone
- (530) 749-3242
- Fax
- (530) 695-6046
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Live Oak, CA
Related
Questions
What is the CLIA number for Peach Tree Clinic in Live Oak?
05D0892413, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peach Tree Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0892413 expire?
The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.