CLIA lab
CLIA 05D2111973: Palm Tree Ranch
Herald, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2111973 belongs to Palm Tree Ranch in Herald, CA.
Certificate of Waiver, effective April 19, 2026, expires April 18, 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
- April 19, 2026
- Certificate expiration
- April 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 2016
- Facility type
- Other
- 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
- 05D2111973
- Lab name
- Palm Tree Ranch
- Address
- 12370 Clay Station Rd, Herald, CA 95638
- Phone
- (209) 748-2628
- Fax
- (209) 740-4966
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.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Palm Tree Ranch in Herald?
05D2111973, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Palm Tree Ranch hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2111973 expire?
The CMS file lists April 18, 2028 as the certificate expiration date; the certificate took effect April 19, 2026.