CLIA lab
CLIA 05D1017011: Mare Island VA Opc
Vallejo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1017011 belongs to Mare Island VA Opc in Vallejo, CA.
Certificate of Accreditation, effective September 15, 2003, expires May 22, 2032.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- September 15, 2003
- Certificate expiration
- May 22, 2032
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2003
- Facility type
- Community clinic
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA VA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 10
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1017011
- Lab name
- Mare Island VA Opc
- Address
- Walnut Ave Bldg 201, Vallejo, CA 94592
- Phone
- (707) 562-8212
- Fax
- (707) 562-8257
Annual test volume the lab reported
- Waived tests
- 40
- Tests under accreditation
- 40
- Total
- 80
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Vallejo, CA
- Adventist Health VallejoCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2299086
- C-Dat LLCCertificate of Waiver, Other05D2096179
- Carquinez DialysisCertificate of Waiver, End stage renal disease dialysis facility05D1099284
- Comprehensive Home Health CareCertificate of Waiver, Home health agency05D2064256
- Concepcion and Lim, MD Family Practice, P CCertificate for Provider-Performed Microscopy Procedures, Physician office05D0997744
- Crestwood Behavioral Health Inc. - Solano PHFCertificate of Waiver, Other05D2284452
- Csu - Cal Poly Maritime Solano, Student HealthCertificate of Waiver, School or student health service05D1063140
- Curtola Home TrainingCertificate of Waiver, End stage renal disease dialysis facility05D2139860
- East Bay Nephrology Medical Group IncCertificate of Waiver, Physician office05D0701826
- Greenfields I ICF DDNCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D0987253
Related
Questions
What is the CLIA number for Mare Island VA Opc in Vallejo?
05D1017011, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mare Island VA Opc hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D1017011 expire?
The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect September 15, 2003.