CLIA lab
CLIA 05D0981870: Adventist Health Clear Lake Medical Office
Middletown, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0981870 belongs to Adventist Health Clear Lake Medical Office in Middletown, CA.
Certificate for Provider-Performed Microscopy Procedures, effective January 9, 2025, expires January 8, 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
- January 9, 2025
- Certificate expiration
- January 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2001
- Facility type
- Rural health clinic
- 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
- 05D0981870
- Lab name
- Adventist Health Clear Lake Medical Office
- Address
- 21337 Bush St, Middletown, CA 95461
- Phone
- (707) 995-5778
- Fax
- (707) 995-5816
Annual test volume the lab reported
- Waived tests
- 1,300
- Provider-performed microscopy tests
- 150
- Total
- 1,450
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 Adventist Health Clear Lake Medical Office in Middletown?
05D0981870, 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 05D0981870 expire?
The CMS file lists January 8, 2027 as the certificate expiration date; the certificate took effect January 9, 2025.