CLIA lab
CLIA 05D2230288: Neely Family Inc DBA North Lake Medical Pharmacy
Lakeport, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2230288 belongs to Neely Family Inc DBA North Lake Medical Pharmacy in Lakeport, CA.
Certificate of Waiver, effective July 21, 2025, expires July 20, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 21, 2025
- Certificate expiration
- July 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 21, 2021
- Facility type
- Pharmacy
- 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
- 05D2230288
- Lab name
- Neely Family Inc DBA North Lake Medical Pharmacy
- Additional name
- #2
- Address
- 347 Lakeport Blvd, Lakeport, CA 95453
- Phone
- (707) 263-1328
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 Lakeport, CA
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D0612188
- Adventist Health Clear LakeCertificate of Waiver, Rural health clinic05D2155735
- 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
- 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 Neely Family Inc DBA North Lake Medical Pharmacy in Lakeport?
05D2230288, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Neely Family Inc DBA North Lake Medical Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2230288 expire?
The CMS file lists July 20, 2027 as the certificate expiration date; the certificate took effect July 21, 2025.