CLIA lab
CLIA 05D0989067: Lodi Urgent Care Med Clinic
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0989067 belongs to Lodi Urgent Care Med Clinic in Lodi, CA.
Certificate of Waiver, effective October 14, 2024, expiration date October 13, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 14, 2024
- Certificate expiration
- October 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2001
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D0989067
- Lab name
- Lodi Urgent Care Med Clinic
- Address
- 900 S Fairmont Ave Ste A, Lodi, CA 95240
- Phone
- (209) 333-2500
- Fax
- (209) 333-3779
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lodi, CA
- Adventist Health Lodi MemorialCertificate of Accreditation, Hospital05D0609686
- Adventist Health Lodi MemorialCertificate of Waiver, Community clinic05D0862779
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D0885857
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2035089
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2095753
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1097139
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2120316
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2341365
- Adventist Health Physicians Network - Cancer CareCertificate of Waiver, Physician office05D2212313
- Adventist Health Physicians Network - Lodi UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D2154128
Related
Questions
What is the CLIA number for Lodi Urgent Care Med Clinic in Lodi?
05D0989067, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lodi Urgent Care Med Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0989067 expire?
The CMS file lists October 13, 2026 as the certificate expiration date; the certificate took effect October 14, 2024.