CLIA lab
CLIA 05D0901413: Adventist Health Clear Lake Medical Office
Clearlake, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0901413 belongs to Adventist Health Clear Lake Medical Office in Clearlake, CA.
Certificate for Provider-Performed Microscopy Procedures, effective November 1, 2024, expires October 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 1, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 23, 1995
- Facility type
- Rural health clinic
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0901413
- Lab name
- Adventist Health Clear Lake Medical Office
- Address
- 15230 Lake Shore Drive, Clearlake, CA 95422
- Phone
- (707) 995-4500
- Fax
- (707) 995-5816
Annual test volume the lab reported
- Waived tests
- 10,000
- Provider-performed microscopy tests
- 1,000
- Total
- 11,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Clearlake, CA
- Adventist Health Clear LakeCertificate of Accreditation, Hospital05D0611927
- Adventist Health Clear Lake Medical CTR -Certificate of Waiver, Other05D2037435
- Adventist Health Medical OfficeCertificate of Waiver, Rural health clinic05D2169110
- Adventist Health Medical Office - Hilltop # 103Certificate of Waiver, Rural health clinic05D2286726
- Adventist Health Medical Office - Hilltop #101Certificate of Waiver, Rural health clinic05D2289609
- Clearlake VA CbocCertificate of Accreditation, Community clinic05D2017138
- Eye Associates Medical Group IncCertificate of Compliance, Physician office05D1092687
- Walmart Pharmacy #10-1979Certificate of Waiver, Pharmacy05D2338981
Related
Questions
What is the CLIA number for Adventist Health Clear Lake Medical Office in Clearlake?
05D0901413, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Clear Lake Medical Office hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0901413 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect November 1, 2024.