CLIA lab
CLIA 05D2274376: Newport Academy - Autumn
Shingle Springs, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2274376 belongs to Newport Academy - Autumn in Shingle Springs, CA.
Certificate of Waiver, effective January 3, 2025, expires January 2, 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
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2023
- Facility type
- Other practitioner
- 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
- 05D2274376
- Lab name
- Newport Academy - Autumn
- Address
- 1785 Autumn Lane, Shingle Springs, CA 95682
- Phone
- (714) 393-3523
- Fax
- (866) 273-8095
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 Shingle Springs, CA
- First Steps RecoveryCertificate of Waiver, Other05D2196236
- Newport Academy - French CreekCertificate of Waiver, Other practitioner05D2275571
- Newport Academy - GoldenCertificate of Waiver, Other practitioner05D2275123
- Newport Academy - MontaireCertificate of Waiver, Other practitioner05D2274537
- Newport Institute - FernwoodCertificate of Waiver, Other practitioner05D2274422
Related
Questions
What is the CLIA number for Newport Academy - Autumn in Shingle Springs?
05D2274376, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Newport Academy - Autumn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2274376 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.