CLIA lab

CLIA 05D1003200: Adventist Health Medical Office- Lucerne

Lucerne, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1003200 belongs to Adventist Health Medical Office- Lucerne in Lucerne, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

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
August 26, 2002
Facility type
Rural health clinic
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1003200
Lab name
Adventist Health Medical Office- Lucerne
Address
6300 E Hwy 20, Lucerne, CA 95458
Phone
(707) 995-5778

Annual test volume the lab reported

Waived tests
10,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for Adventist Health Medical Office- Lucerne in Lucerne?

05D1003200, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Adventist Health Medical Office- Lucerne hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1003200 expire?

The CMS file lists October 13, 2026 as the certificate expiration date; the certificate took effect October 14, 2024.

Try it on your own data today.

Free to start. Most teams are using it the same day.