CLIA lab
CLIA 05D0964158: Adventist Health Lodi Memorial
Galt, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0964158 belongs to Adventist Health Lodi Memorial in Galt, CA.
Certificate of Waiver, effective March 17, 2026, expires March 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 of Waiver
- Certificate effective
- March 17, 2026
- Certificate expiration
- March 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 19, 1999
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D0964158
- Lab name
- Adventist Health Lodi Memorial
- Address
- 387 Civic Dr Ste A, Galt, CA 95632
- Phone
- (209) 339-7411
- Fax
- (209) 333-3161
Annual test volume the lab reported
- Waived tests
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Adventist Health Lodi Memorial in Galt?
05D0964158, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Lodi Memorial hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0964158 expire?
The CMS file lists March 16, 2028 as the certificate expiration date; the certificate took effect March 17, 2026.