CLIA lab
CLIA 05D0945313: Sutter Lakeside Medical Practice
Lakeport, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0945313 belongs to Sutter Lakeside Medical Practice in Lakeport, CA.
Certificate for Provider-Performed Microscopy Procedures, effective April 27, 2025, expires April 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 1998
- Facility type
- Other
- Ownership (control type)
- Other
- 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
- 05D0945313
- Lab name
- Sutter Lakeside Medical Practice
- Address
- 987 Parallel Drive Ste C, Lakeport, CA 95453
- Phone
- (707) 262-5088
- Fax
- (707) 263-8977
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 30
- Total
- 2,030
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lakeport, CA
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D0612188
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D2155735
- County of Lake Public HealthCertificate of Waiver, Public health laboratory05D0708725
- Hospice Services of Lake CountyCertificate of Waiver, Hospice05D0930705
- Lake County JailCertificate of Waiver, Other05D2278210
- Lake County Tribal HealthCertificate for Provider-Performed Microscopy Procedures, Other05D0722889
- Lakeport Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0886315
- Lakeport Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0863932
- Neely Family Inc DBA North Lake Medical PharmacyCertificate of Waiver, Pharmacy05D2230288
- Redwood Family Dermatology-LakeportCertificate for Provider-Performed Microscopy Procedures, Physician office05D2331076
Related
Questions
What is the CLIA number for Sutter Lakeside Medical Practice in Lakeport?
05D0945313, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Lakeside Medical Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0945313 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.