CLIA lab
CLIA 05D1059296: Douglas W Ankrom, MD
Sonora, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1059296 belongs to Douglas W Ankrom, MD in Sonora, CA.
Certificate of Waiver, effective September 26, 2024, expiration date September 25, 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
- September 26, 2024
- Certificate expiration
- September 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 2006
- 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
- 05D1059296
- Lab name
- Douglas W Ankrom, MD
- Address
- 680 Guzzi Lane, Ste 205, Sonora, CA 95370
- Phone
- (209) 533-3321
- Fax
- (209) 533-3118
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sonora, CA
- Adventist Health Sonora HospitalCertificate of Accreditation, Hospital05D0610961
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2268243
- Golden Sonora Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0960040
- Lawrence E. Brunel, MDCertificate of Waiver, Physician office05D2118484
- Mact Dental, SonoraCertificate of Waiver, Ancillary test site05D2216004
- Mact Medical, SonoraCertificate for Provider-Performed Microscopy Procedures, Community clinic05D0977762
- Mact ProsthodonticsCertificate of Waiver, Other05D2281395
- Mact Sonora Pediatric Health CenterCertificate for Provider-Performed Microscopy Procedures, Other05D2274213
- Mact Sonora Women's Health CenterCertificate for Provider-Performed Microscopy Procedures, Other05D2274205
- Safeway Pharmacy #3127Certificate of Waiver, Pharmacy05D2094643
Related
Questions
What is the CLIA number for Douglas W Ankrom, MD in Sonora?
05D1059296, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Douglas W Ankrom, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1059296 expire?
The CMS file lists September 25, 2026 as the certificate expiration date; the certificate took effect September 26, 2024.