CLIA lab
CLIA 05D0914394: Department of State Hospitals - Patton
Patton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0914394 belongs to Department of State Hospitals - Patton in Patton, CA.
Certificate for Provider-Performed Microscopy Procedures, effective April 29, 2026, expires April 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
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- April 29, 2026
- Certificate expiration
- April 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 1996
- Facility type
- Other
- Ownership (control type)
- Government, state
- 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
- 05D0914394
- Lab name
- Department of State Hospitals - Patton
- Address
- 3102 East Highland Ave Eb Bldg, 2nd Fl, Patton, CA 92369
- Phone
- (909) 425-6268
- Fax
- (909) 425-6589
Annual test volume the lab reported
- Waived tests
- 36,000
- Provider-performed microscopy tests
- 650
- Total
- 36,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Department of State Hospitals - Patton in Patton?
05D0914394, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Department of State Hospitals - Patton hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0914394 expire?
The CMS file lists April 28, 2028 as the certificate expiration date; the certificate took effect April 29, 2026.