CLIA lab
CLIA 05D2076656: Sutter Lakeside Community Clinic
Lakeport, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2076656 belongs to Sutter Lakeside Community Clinic in Lakeport, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 6, 2025, expires October 5, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 6, 2025
- Certificate expiration
- October 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2014
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2076656
- Lab name
- Sutter Lakeside Community Clinic
- Address
- 5196 Hill Rd E Ste 300, Lakeport, CA 95453
- Phone
- (707) 263-6885
Annual test volume the lab reported
- Waived tests
- 250
- Provider-performed microscopy tests
- 100
- Total
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lakeport, CA
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D0612188
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D2155735
- County of Lake Public HealthCertificate of Waiver, Public health laboratory05D0708725
- Hospice Services of Lake CountyCertificate of Waiver, Hospice05D0930705
- Lake County JailCertificate of Waiver, Other05D2278210
- Lake County Tribal HealthCertificate for Provider-Performed Microscopy Procedures, Other05D0722889
- Lakeport Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0886315
- Lakeport Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0863932
- Neely Family Inc DBA North Lake Medical PharmacyCertificate of Waiver, Pharmacy05D2230288
- Redwood Family Dermatology-LakeportCertificate for Provider-Performed Microscopy Procedures, Physician office05D2331076
Related
Questions
What is the CLIA number for Sutter Lakeside Community Clinic in Lakeport?
05D2076656, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Lakeside Community Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2076656 expire?
The CMS file lists October 5, 2027 as the certificate expiration date; the certificate took effect October 6, 2025.