CLIA lab

CLIA 05D2078870: Barton Medical Foundation-Urology

South Lake Tahoe, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2078870 belongs to Barton Medical Foundation-Urology in South Lake Tahoe, CA.

Certificate of Waiver, effective June 5, 2026, expires June 4, 2028.

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 5, 2026
Certificate expiration
June 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 5, 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
05D2078870
Lab name
Barton Medical Foundation-Urology
Address
2169 South Ave, South Lake Tahoe, CA 96150
Phone
(530) 543-5440
Fax
(530) 544-1959

Annual test volume the lab reported

Waived tests
750

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in South Lake Tahoe, CA

Related

Questions

What is the CLIA number for Barton Medical Foundation-Urology in South Lake Tahoe?

05D2078870, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Barton Medical Foundation-Urology hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2078870 expire?

The CMS file lists June 4, 2028 as the certificate expiration date; the certificate took effect June 5, 2026.

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