CLIA lab
CLIA 05D2058348: Kohls Wellness Center
Patterson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2058348 belongs to Kohls Wellness Center in Patterson, CA.
Certificate of Waiver, effective July 30, 2025, expires July 29, 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 30, 2025
- Certificate expiration
- July 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D2058348
- Lab name
- Kohls Wellness Center
- Address
- 2065 Keystone Pacific Pkwy, Patterson, CA 95363
- Phone
- (414) 566-8452
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Patterson, CA
- A Wahid MD Inc DBA Apricot Valley Urgent CareCertificate of Waiver, Physician office05D2066256
- Del Puerto Health CenterCertificate of Waiver, Rural health clinic05D1016529
- Innovative Dialysis of Patterson, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2080921
- Modesto Kidney Medical GroupCertificate of Waiver, Physician office05D2113709
- Patterson Family PharmacyCertificate of Waiver, Pharmacy05D2186626
- Patterson Urgent Care and Work Wellness CenterCertificate of Waiver, Physician office05D2081528
- Wahid Medical CorporationCertificate of Waiver, Physician office05D2039449
- Walgreens #09955Certificate of Waiver, Pharmacy05D2220418
- Walmart Pharmacy #10-5843Certificate of Waiver, Pharmacy05D2339888
Related
Questions
What is the CLIA number for Kohls Wellness Center in Patterson?
05D2058348, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kohls Wellness Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2058348 expire?
The CMS file lists July 29, 2027 as the certificate expiration date; the certificate took effect July 30, 2025.