CLIA lab

CLIA 05D0895274: Tahoe Forest Multispecialty Clinic

Olympic Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0895274 belongs to Tahoe Forest Multispecialty Clinic in Olympic Valley, CA.

Certificate of Waiver, effective January 24, 2025, expires January 23, 2027.

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
January 24, 2025
Certificate expiration
January 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 5, 1994
Facility type
Physician office
Ownership (control type)
Government, other
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
05D0895274
Lab name
Tahoe Forest Multispecialty Clinic
Additional name
Olympic Valley
Address
1885 Village South Road, Olympic Valley, CA 96146
Phone
(530) 550-6748
Fax
(530) 582-6352

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

Related

Questions

What is the CLIA number for Tahoe Forest Multispecialty Clinic in Olympic Valley?

05D0895274, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tahoe Forest Multispecialty Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0895274 expire?

The CMS file lists January 23, 2027 as the certificate expiration date; the certificate took effect January 24, 2025.

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