CLIA lab
CLIA 05D2142664: Wellpath, Lassen County Jail
Susanville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2142664 belongs to Wellpath, Lassen County Jail in Susanville, CA.
Certificate of Waiver, effective January 17, 2026, expires January 16, 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
- January 17, 2026
- Certificate expiration
- January 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 2018
- Facility type
- Prison
- 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
- 05D2142664
- Lab name
- Wellpath, Lassen County Jail
- Address
- 1405 Sheriff Cady Ln, Susanville, CA 96130
- Phone
- (530) 251-5245
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Susanville, CA
- Banner HealthCertificate for Provider-Performed Microscopy Procedures, Physician office05D2119306
- 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
Related
Questions
What is the CLIA number for Wellpath, Lassen County Jail in Susanville?
05D2142664, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellpath, Lassen County Jail hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2142664 expire?
The CMS file lists January 16, 2028 as the certificate expiration date; the certificate took effect January 17, 2026.