CLIA lab
CLIA 05D0895264: Tahoe Forest Multispecialty Clinic Tahoe City
Tahoe City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0895264 belongs to Tahoe Forest Multispecialty Clinic Tahoe City in Tahoe City, CA.
Certificate of Waiver, effective December 27, 2024, expires December 26, 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 of Waiver
- Certificate effective
- December 27, 2024
- Certificate expiration
- December 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 5, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0895264
- Lab name
- Tahoe Forest Multispecialty Clinic Tahoe City
- Address
- 925 N Lake Blvd Ste 102, Tahoe City, CA 96145
- Phone
- (530) 581-8864
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Tahoe City, CA
Related
Questions
What is the CLIA number for Tahoe Forest Multispecialty Clinic Tahoe City in Tahoe City?
05D0895264, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tahoe Forest Multispecialty Clinic Tahoe City hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0895264 expire?
The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.