CLIA lab
CLIA 05D2024231: Keith Mark Gross MD Inc
Susanville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2024231 belongs to Keith Mark Gross MD Inc in Susanville, CA.
Certificate of Compliance, effective October 26, 2023, expires October 31, 2026.
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 Compliance
- Certificate effective
- October 26, 2023
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2011
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2024231
- Lab name
- Keith Mark Gross MD Inc
- Address
- 1810 1st St, Susanville, CA 96130
- Phone
- (530) 257-7335
- Fax
- (530) 257-9735
Annual test volume the lab reported
- Other nonwaived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Susanville, CA
- Banner HealthCertificate for Provider-Performed Microscopy Procedures, Physician office05D2119306
- Banner Lassen Medical CenterCertificate of Accreditation, Hospital05D0677283
- CF Susanville, LLCCertificate of Waiver, Skilled nursing or nursing facility05D0671777
- Diamond View VA ClinicCertificate of Accreditation, Community clinic05D2028005
- Hal Meadows MDCertificate of Waiver, Physician office05D0618634
- High Desert State Prison LaboratoryCertificate of Waiver, Other05D0912539
- Lassen County Public Health DepartmentCertificate of Waiver, Public health laboratory05D0707206
- Lassen Indian Health CenterCertificate of Waiver, Other05D0684082
- Northeastern Rural Health ClinicsCertificate of Waiver, Federally qualified health center05D0618660
- Walgreens 10421Certificate of Waiver, Pharmacy05D2308164
Related
Questions
What is the CLIA number for Keith Mark Gross MD Inc in Susanville?
05D2024231, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keith Mark Gross MD Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2024231 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect October 26, 2023.