CLIA lab
CLIA 05D2119306: Banner Health
Susanville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2119306 belongs to Banner Health in Susanville, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 23, 2026, expires September 22, 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
- September 23, 2026
- Certificate expiration
- September 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 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
- 05D2119306
- Lab name
- Banner Health
- Address
- 1680 Paul Bunyan Rd, Susanville, CA 96130
- Phone
- (530) 257-5730
- Fax
- (530) 257-6039
Annual test volume the lab reported
- Waived tests
- 10,000
- Provider-performed microscopy tests
- 1,000
- Total
- 11,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Susanville, CA
- Banner Lassen Medical CenterCertificate of Accreditation, Hospital05D0677283
- CF Susanville, LLCCertificate of Waiver, Skilled nursing or nursing facility05D0671777
- Diamond View VA ClinicCertificate of Accreditation, Community clinic05D2028005
- Hal Meadows MDCertificate of Waiver, Physician office05D0618634
- High Desert State Prison LaboratoryCertificate of Waiver, Other05D0912539
- Keith Mark Gross MD IncCertificate of Compliance, Physician office05D2024231
- Lassen County Public Health DepartmentCertificate of Waiver, Public health laboratory05D0707206
- Lassen Indian Health CenterCertificate of Waiver, Other05D0684082
- Northeastern Rural Health ClinicsCertificate of Waiver, Federally qualified health center05D0618660
- Walgreens 10421Certificate of Waiver, Pharmacy05D2308164
Related
Questions
What is the CLIA number for Banner Health in Susanville?
05D2119306, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Banner Health hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2119306 expire?
The CMS file lists September 22, 2028 as the certificate expiration date; the certificate took effect September 23, 2026.