CLIA lab
CLIA 05D2117925: Dignity Health Medical Foundation
Scotts Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2117925 belongs to Dignity Health Medical Foundation in Scotts Valley, CA.
Certificate for Provider-Performed Microscopy Procedures, effective August 25, 2026, expires August 24, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 25, 2026
- Certificate expiration
- August 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2016
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 05D2117925
- Lab name
- Dignity Health Medical Foundation
- Address
- 245 Mount Hermon Rd Ste L, Scotts Valley, CA 95066
- Phone
- (916) 851-2462
- Fax
- (916) 851-7643
Annual test volume the lab reported
- Waived tests
- 8,000
- Provider-performed microscopy tests
- 1,000
- Total
- 9,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Scotts Valley, CA
- Brookdale Scotts ValleyCertificate of Waiver, Assisted living facility05D2211588
- Camp Recovery CenterCertificate of Waiver, Public health laboratory05D1097384
- Hospice of Santa Cruz CountyCertificate of Waiver, Hospice05D1013114
- Palo Alto Medical FoundationCertificate of Waiver, Ancillary test site05D0606903
- The Camp Recovery CenterCertificate of Waiver, Other05D2213076
- Tpmg Scotts Valley LaboratoryCertificate for Provider-Performed Microscopy Procedures, Ancillary test site05D2123996
- Walgreens 06214Certificate of Waiver, Pharmacy05D2299579
Related
Questions
What is the CLIA number for Dignity Health Medical Foundation in Scotts Valley?
05D2117925, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dignity Health Medical Foundation hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2117925 expire?
The CMS file lists August 24, 2028 as the certificate expiration date; the certificate took effect August 25, 2026.