CLIA lab
CLIA 05D2154128: Adventist Health Physicians Network - Lodi Urology
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2154128 belongs to Adventist Health Physicians Network - Lodi Urology in Lodi, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 6, 2026, expires September 5, 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 6, 2026
- Certificate expiration
- September 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2018
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D2154128
- Lab name
- Adventist Health Physicians Network - Lodi Urology
- Address
- 830 S Ham Lane Suite 26, Lodi, CA 95242
- Phone
- (209) 339-7411
- Fax
- (209) 333-3161
Annual test volume the lab reported
- Waived tests
- 9,000
- Provider-performed microscopy tests
- 400
- Total
- 9,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lodi, CA
- Adventist Health Lodi MemorialCertificate of Accreditation, Hospital05D0609686
- Adventist Health Lodi MemorialCertificate of Waiver, Community clinic05D0862779
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D0885857
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2035089
- Adventist Health Lodi MemorialCertificate of Waiver, Physician office05D2095753
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1097139
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2120316
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2341365
- Adventist Health Physicians Network - Cancer CareCertificate of Waiver, Physician office05D2212313
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102212
Related
Questions
What is the CLIA number for Adventist Health Physicians Network - Lodi Urology in Lodi?
05D2154128, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Physicians Network - Lodi Urology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2154128 expire?
The CMS file lists September 5, 2028 as the certificate expiration date; the certificate took effect September 6, 2026.