CLIA lab
CLIA 05D1097139: Adventist Health Physicians Network
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1097139 belongs to Adventist Health Physicians Network in Lodi, CA.
Certificate of Waiver, effective July 7, 2025, expires July 6, 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 of Waiver
- Certificate effective
- July 7, 2025
- Certificate expiration
- July 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2009
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D1097139
- Lab name
- Adventist Health Physicians Network
- Address
- 1901 W Kettleman Lane, Ste 200, Lodi, CA 95242
- Phone
- (209) 339-7411
- Fax
- (209) 333-3161
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lodi, CA
- Adventist Health Lodi MemorialCertificate of Accreditation, Hospital05D0609686
- Adventist Health Lodi MemorialCertificate of Waiver, Community clinic05D0862779
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D0885857
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2035089
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2095753
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2120316
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2341365
- Adventist Health Physicians Network - Cancer CareCertificate of Waiver, Physician office05D2212313
- Adventist Health Physicians Network - Lodi UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D2154128
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102212
Related
Questions
What is the CLIA number for Adventist Health Physicians Network in Lodi?
05D1097139, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Physicians Network hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1097139 expire?
The CMS file lists July 6, 2027 as the certificate expiration date; the certificate took effect July 7, 2025.