CLIA lab
CLIA 05D0901250: Shingle Springs Tribal Health Program
Placerville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0901250 belongs to Shingle Springs Tribal Health Program in Placerville, CA.
Certificate for Provider-Performed Microscopy Procedures, effective June 17, 2026, expires June 16, 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
- June 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 1995
- Facility type
- Other
- Ownership (control type)
- Government, federal
- 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
- 05D0901250
- Lab name
- Shingle Springs Tribal Health Program
- Address
- 5168 Honpie Rd, Shingle Springs Tribal Health Program 5th Floor, Placerville, CA 95667
- Phone
- (530) 387-4975
- Fax
- (530) 387-8006
Annual test volume the lab reported
- Waived tests
- 1,500
- Provider-performed microscopy tests
- 100
- Total
- 1,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Placerville, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2162086
- Berman Skin Institute Medical Group, IncCertificate of Registration, Physician office05D2178196
- Doctors Office Lab,theCertificate of Waiver, Physician office05D0899464
- El Dorado Community Health CenterCertificate of Waiver, Federally qualified health center05D1012075
- El Dorado County - PlacervilleCertificate of Waiver, Other05D2268254
- El Dorado County EMS AgencyCertificate of Waiver, Ambulance05D0867396
- El Dorado County Public Health DeptCertificate of Waiver, Community clinic05D0666562
- El Dorado County,Certificate of Waiver, Other05D2142194
- El Dorado County, Placerville Main JailCertificate of Waiver, Other05D2142193
- El Dorado Pathology Medical GroupCertificate of Accreditation, Independent05D0644136
Related
Questions
What is the CLIA number for Shingle Springs Tribal Health Program in Placerville?
05D0901250, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shingle Springs Tribal Health Program hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0901250 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.