CLIA lab

CLIA 05D1087668: La Clinica North Vallejo

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

CLIA number 05D1087668 belongs to La Clinica North Vallejo in Vallejo, CA.

Certificate for Provider-Performed Microscopy Procedures, effective August 8, 2026, expires August 7, 2028.

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 Rivvi

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

Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
August 8, 2026
Certificate expiration
August 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 8, 2008
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
05D1087668
Lab name
La Clinica North Vallejo
Address
220 Hospital Dr, Vallejo, CA 94589
Phone
(707) 641-1900
Fax
(707) 641-1992

Annual test volume the lab reported

Waived tests
3,555
Provider-performed microscopy tests
742
Total
4,297

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

Related

Questions

What is the CLIA number for La Clinica North Vallejo in Vallejo?

05D1087668, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does La Clinica North Vallejo hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D1087668 expire?

The CMS file lists August 7, 2028 as the certificate expiration date; the certificate took effect August 8, 2026.

Try it on your own data today.

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