CLIA lab
CLIA 05D1061667: Dameron Hospital Association
Stockton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1061667 belongs to Dameron Hospital Association in Stockton, CA.
Certificate of Waiver, effective November 22, 2024, expires November 21, 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
- November 22, 2024
- Certificate expiration
- November 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 22, 2006
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1061667
- Lab name
- Dameron Hospital Association
- Additional name
- Alex & Faye Surgical Pavilion
- Address
- 445 West Acacia St, Stockton, CA 95203
- Phone
- (209) 461-3151
- Fax
- (209) 461-3174
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Stockton, CA
- 1st Choice Home Health Care & Hospice IncCertificate of Waiver, Home health agency05D2233102
- 21st Century Home Care LLCCertificate of Waiver, Home health agency05D2301609
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1089187
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973347
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102461
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102462
- Agile Occupational Medicine PCCertificate of Waiver, Physician office05D2295151
- Allcare Hospitalist Medical Group - StocktonCertificate of Waiver, Physician office05D2319940
- American GenomicsCertificate of Registration, Independent05D2349163
- American Medical ResponseCertificate of Waiver, Ambulance05D2050527
Related
Questions
What is the CLIA number for Dameron Hospital Association in Stockton?
05D1061667, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dameron Hospital Association hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1061667 expire?
The CMS file lists November 21, 2026 as the certificate expiration date; the certificate took effect November 22, 2024.