CLIA lab

CLIA 05D1007814: Kathleen T Sullivan MD

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

CLIA number 05D1007814 belongs to Kathleen T Sullivan MD in Chico, CA.

Certificate of Waiver, effective December 31, 2024, expires December 30, 2026.

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
December 31, 2024
Certificate expiration
December 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 2002
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
05D1007814
Lab name
Kathleen T Sullivan MD
Address
194 Cohasset Rd, Chico, CA 95926
Phone
(530) 893-2303
Fax
(530) 893-3607

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Chico, CA

Related

Questions

What is the CLIA number for Kathleen T Sullivan MD in Chico?

05D1007814, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kathleen T Sullivan MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1007814 expire?

The CMS file lists December 30, 2026 as the certificate expiration date; the certificate took effect December 31, 2024.

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