CLIA lab
CLIA 05D1090124: Adventist Health Medical Specialty
Hidden Valley Lake, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1090124 belongs to Adventist Health Medical Specialty in Hidden Valley Lake, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 2, 2026, expires October 1, 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
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 2, 2026
- Certificate expiration
- October 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 2008
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- 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
- 05D1090124
- Lab name
- Adventist Health Medical Specialty
- Address
- 18990 Coyote Valley Road Ste 10, Hidden Valley Lake, CA 95467
- Phone
- (707) 995-5805
- Fax
- (707) 995-5616
Annual test volume the lab reported
- Waived tests
- 2,800
- Provider-performed microscopy tests
- 1,200
- Total
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Adventist Health Medical Specialty in Hidden Valley Lake?
05D1090124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Medical Specialty hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1090124 expire?
The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.