CLIA lab
CLIA 05D2155735: Adventist Health Clear Lake
Lakeport, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2155735 belongs to Adventist Health Clear Lake in Lakeport, CA.
Certificate of Waiver, effective October 3, 2026, expires October 2, 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
- October 3, 2026
- Certificate expiration
- October 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2018
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2155735
- Lab name
- Adventist Health Clear Lake
- Additional name
- Medical Office - Lakeport
- Address
- 801 11th St, Lakeport, CA 95453
- Phone
- (707) 995-5778
- Fax
- (707) 995-5816
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.
Affiliated CLIA numbers
Other labs in Lakeport, CA
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D0612188
- County of Lake Public HealthCertificate of Waiver, Public health laboratory05D0708725
- Hospice Services of Lake CountyCertificate of Waiver, Hospice05D0930705
- Lake County JailCertificate of Waiver, Other05D2278210
- Lake County Tribal HealthCertificate for Provider-Performed Microscopy Procedures, Other05D0722889
- Lakeport Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility05D0886315
- Lakeport Post AcuteCertificate of Waiver, Skilled nursing or nursing facility05D0863932
- Neely Family Inc DBA North Lake Medical PharmacyCertificate of Waiver, Pharmacy05D2230288
- Redwood Family Dermatology-LakeportCertificate for Provider-Performed Microscopy Procedures, Physician office05D2331076
- Safeway Pharmacy #0983Certificate of Waiver, Pharmacy05D2058278
Related
Questions
What is the CLIA number for Adventist Health Clear Lake in Lakeport?
05D2155735, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Clear Lake hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2155735 expire?
The CMS file lists October 2, 2028 as the certificate expiration date; the certificate took effect October 3, 2026.