CLIA lab
CLIA 05D2117960: Sutter Delta's Advanced Wound Care Center
Antioch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2117960 belongs to Sutter Delta's Advanced Wound Care Center in Antioch, CA.
Certificate of Waiver, effective May 13, 2025, expires May 12, 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 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 2016
- Facility type
- Other
- 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
- 05D2117960
- Lab name
- Sutter Delta's Advanced Wound Care Center
- Address
- 3903 Lone Tree Way, Suite 104, Antioch, CA 94509
- Phone
- (925) 779-2900
- Fax
- (925) 779-2998
Annual test volume the lab reported
- Waived tests
- 1,040
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Sutter Delta's Advanced Wound Care Center in Antioch?
05D2117960, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sutter Delta's Advanced Wound Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2117960 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.