CLIA lab
CLIA 05D2286726: Adventist Health Medical Office - Hilltop # 103
Clearlake, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2286726 belongs to Adventist Health Medical Office - Hilltop # 103 in Clearlake, CA.
Certificate of Waiver, effective August 2, 2025, expires August 1, 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 2, 2025
- Certificate expiration
- August 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 2, 2023
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2286726
- Lab name
- Adventist Health Medical Office - Hilltop # 103
- Address
- 15322 Lakeshore Drive # 103, Clearlake, CA 95422
- Phone
- (707) 995-5778
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.
Affiliated CLIA numbers
Other labs in Clearlake, CA
- Adventist Health Clear LakeCertificate of Accreditation, Hospital05D0611927
- Adventist Health Clear Lake Medical CTR -Certificate of Waiver, Other05D2037435
- Adventist Health Clear Lake Medical OfficeCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D0901413
- Adventist Health Medical OfficeCertificate of Waiver, Rural health clinic05D2169110
- Adventist Health Medical Office - Hilltop #101Certificate of Waiver, Rural health clinic05D2289609
- Clearlake VA CbocCertificate of Accreditation, Community clinic05D2017138
- Eye Associates Medical Group IncCertificate of Compliance, Physician office05D1092687
- Walmart Pharmacy #10-1979Certificate of Waiver, Pharmacy05D2338981
Related
Questions
What is the CLIA number for Adventist Health Medical Office - Hilltop # 103 in Clearlake?
05D2286726, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Medical Office - Hilltop # 103 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2286726 expire?
The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.