CLIA lab
CLIA 05D2289576: Community Medical Centers Outreach Van 104
Stockton, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2289576 belongs to Community Medical Centers Outreach Van 104 in Stockton, CA.
Certificate of Waiver, effective September 12, 2025, expires September 11, 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
- September 12, 2025
- Certificate expiration
- September 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 2023
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 05D2289576
- Lab name
- Community Medical Centers Outreach Van 104
- Address
- 2650 Wigwam Drive Unit 0, Stockton, CA 95205
- Phone
- (209) 373-2800
- Fax
- (209) 373-2878
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 Stockton, CA
- 1st Choice Home Health Care & Hospice IncCertificate of Waiver, Home health agency05D2233102
- 21st Century Home Care LLCCertificate of Waiver, Home health agency05D2301609
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D1089187
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973347
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102461
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2102462
- Agile Occupational Medicine PCCertificate of Waiver, Physician office05D2295151
- Allcare Hospitalist Medical Group - StocktonCertificate of Waiver, Physician office05D2319940
- American GenomicsCertificate of Registration, Independent05D2349163
- American Medical ResponseCertificate of Waiver, Ambulance05D2050527
Related
Questions
What is the CLIA number for Community Medical Centers Outreach Van 104 in Stockton?
05D2289576, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Medical Centers Outreach Van 104 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2289576 expire?
The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.