CLIA lab
CLIA 05D2017138: Clearlake VA Cboc
Clearlake, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2017138 belongs to Clearlake VA Cboc in Clearlake, CA.
Certificate of Accreditation, effective December 6, 2010, expires May 22, 2032.
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 Accreditation
- Certificate effective
- December 6, 2010
- Certificate expiration
- May 22, 2032
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 2010
- Facility type
- Community clinic
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA VA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2017138
- Lab name
- Clearlake VA Cboc
- Address
- 15145 Lakeshore Drive, Clearlake, CA 95422
- Phone
- (707) 995-7200
Annual test volume the lab reported
- Waived tests
- 340
- Tests under accreditation
- 340
- Total
- 680
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Clearlake, CA
- Adventist Health Clear LakeCertificate of Accreditation, Hospital05D0611927
- Adventist Health Clear Lake Medical CTR -Certificate of Waiver, Other05D2037435
- Adventist Health Clear Lake Medical OfficeCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D0901413
- Adventist Health Medical OfficeCertificate of Waiver, Rural health clinic05D2169110
- Adventist Health Medical Office - Hilltop # 103Certificate of Waiver, Rural health clinic05D2286726
- Adventist Health Medical Office - Hilltop #101Certificate of Waiver, Rural health clinic05D2289609
- Eye Associates Medical Group IncCertificate of Compliance, Physician office05D1092687
- Walmart Pharmacy #10-1979Certificate of Waiver, Pharmacy05D2338981
Related
Questions
What is the CLIA number for Clearlake VA Cboc in Clearlake?
05D2017138, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clearlake VA Cboc hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D2017138 expire?
The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect December 6, 2010.