CLIA lab
CLIA 05D1100593: Stockton Cardiology Medical Group - San Andreas
San Andreas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1100593 belongs to Stockton Cardiology Medical Group - San Andreas in San Andreas, CA.
Certificate of Waiver, effective June 9, 2025, expires June 8, 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
- June 9, 2025
- Certificate expiration
- June 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 9, 2009
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D1100593
- Lab name
- Stockton Cardiology Medical Group - San Andreas
- Address
- 704 Mountain Ranch Road, Suite 101, San Andreas, CA 95249
- Phone
- (209) 944-5755
- Fax
- (209) 627-3939
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in San Andreas, CA
- Calaveras County Health DepartmentCertificate of Waiver, Other05D0609784
- California Forensic Medical Group IncCertificate of Waiver, Other05D2155235
- Family Medical Center - San AndreasCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D2001819
- Golden State Amdreas Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0662754
- Mact Dental, San AndreasCertificate of Waiver, Ancillary test site05D2216019
- Mact Medical San AndreasCertificate of Waiver, Community clinic05D1084391
- Mark Twain Medical CenterCertificate of Accreditation, Hospital05D0609782
Related
Questions
What is the CLIA number for Stockton Cardiology Medical Group - San Andreas in San Andreas?
05D1100593, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stockton Cardiology Medical Group - San Andreas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1100593 expire?
The CMS file lists June 8, 2027 as the certificate expiration date; the certificate took effect June 9, 2025.