CLIA lab

CLIA 05D1091964: Dignity Health Medical Foundation

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

CLIA number 05D1091964 belongs to Dignity Health Medical Foundation in Stockton, CA.

Certificate for Provider-Performed Microscopy Procedures, effective July 24, 2025, expires July 23, 2027.

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
July 24, 2025
Certificate expiration
July 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 13, 2008
Facility type
Physician office
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
05D1091964
Lab name
Dignity Health Medical Foundation
Address
782 E Harding Way, Stockton, CA 95204
Phone
(916) 851-2462
Fax
(916) 851-7643

Annual test volume the lab reported

Waived tests
5,000
Provider-performed microscopy tests
700
Total
5,700

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 Dignity Health Medical Foundation in Stockton?

05D1091964, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dignity Health Medical Foundation hold?

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

When does CLIA 05D1091964 expire?

The CMS file lists July 23, 2027 as the certificate expiration date; the certificate took effect July 24, 2025.

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