CLIA lab

CLIA 05D2214347: Brookdale Lodi

Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2214347 belongs to Brookdale Lodi in Lodi, CA.

Certificate of Waiver, effective February 22, 2025, expires February 21, 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
February 22, 2025
Certificate expiration
February 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 22, 2021
Facility type
Assisted living facility
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
05D2214347
Lab name
Brookdale Lodi
Address
2220 West Kettleman Lane, Lodi, CA 95242
Phone
(209) 367-8870

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lodi, CA

Related

Questions

What is the CLIA number for Brookdale Lodi in Lodi?

05D2214347, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Lodi hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2214347 expire?

The CMS file lists February 21, 2027 as the certificate expiration date; the certificate took effect February 22, 2025.

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