CLIA lab
CLIA 05D2233235: Gabriel Icf/Ddn
Lodi, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2233235 belongs to Gabriel Icf/Ddn in Lodi, CA.
Certificate of Waiver, effective August 20, 2025, expires August 19, 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
- August 20, 2025
- Certificate expiration
- August 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 20, 2021
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, state
- 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
- 05D2233235
- Lab name
- Gabriel Icf/Ddn
- Address
- 2155 W Elm Street, Lodi, CA 95242
- Phone
- (209) 333-1904
- Fax
- (209) 333-1938
Annual test volume the lab reported
- Waived tests
- 24
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lodi, CA
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- 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
- Adventist Health Physicians Network - Lodi UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office05D2154128
Related
Questions
What is the CLIA number for Gabriel Icf/Ddn in Lodi?
05D2233235, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gabriel Icf/Ddn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2233235 expire?
The CMS file lists August 19, 2027 as the certificate expiration date; the certificate took effect August 20, 2025.