CLIA lab

CLIA 05D2289440: Clearwater Healthcare Center

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

CLIA number 05D2289440 belongs to Clearwater Healthcare Center in Stockton, CA.

Certificate of Waiver, effective September 11, 2023, expiration date September 10, 2025.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
September 11, 2023
Certificate expiration
September 10, 2025
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2023
Facility type
Skilled nursing or nursing 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
05D2289440
Lab name
Clearwater Healthcare Center
Address
1517 Knickerbocker Drive, Stockton, CA 95210
Phone
(209) 957-4539
Fax
(209) 957-5831

Annual test volume the lab reported

Waived tests
3,200

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

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Questions

What is the CLIA number for Clearwater Healthcare Center in Stockton?

05D2289440, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clearwater Healthcare Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2289440 expire?

The CMS file lists September 10, 2025 as the certificate expiration date; the certificate took effect September 11, 2023.

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