CLIA lab
CLIA 05D2095404: Delta Eye Medical Group, Inc.
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2095404 belongs to Delta Eye Medical Group, Inc. in Lodi, CA.
Certificate of Waiver, effective May 6, 2025, expires May 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 6, 2025
- Certificate expiration
- May 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D2095404
- Lab name
- Delta Eye Medical Group, Inc.
- Address
- 521 S Ham Ln Ste A, Lodi, CA 95242
- Phone
- (209) 334-5886
- Fax
- (209) 334-5281
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lodi, CA
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- Adventist Health Lodi MemorialCertificate of Waiver, Community clinic05D0862779
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D0885857
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2035089
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2095753
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1097139
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2120316
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2341365
- Adventist Health Physicians Network - Cancer CareCertificate of Waiver, Physician office05D2212313
- Adventist Health Physicians Network - Lodi UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D2154128
Related
Questions
What is the CLIA number for Delta Eye Medical Group, Inc. in Lodi?
05D2095404, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Delta Eye Medical Group, Inc. hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2095404 expire?
The CMS file lists May 5, 2027 as the certificate expiration date; the certificate took effect May 6, 2025.