CLIA lab
CLIA 05D2294554: Peach Tree Medical Van
Yuba City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2294554 belongs to Peach Tree Medical Van in Yuba City, CA.
Certificate of Waiver, effective November 28, 2025, expires November 27, 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
- November 28, 2025
- Certificate expiration
- November 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 28, 2023
- Facility type
- Mobile lab
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2294554
- Lab name
- Peach Tree Medical Van
- Address
- 1275 Tharo Road, Yuba City, CA 95993
- Phone
- (530) 749-3242
- Fax
- (530) 749-3248
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 Yuba City, CA
- A Woman's Friend Pregnancy Resource ClinicCertificate of Waiver, Community clinic05D0921405
- Acorn Health Group Inc DBA Tcsig Wellness CenterCertificate of Waiver, Physician office05D2117762
- Advance Home Health and Hospice IncCertificate of Waiver, Hospice05D2174728
- Advanced Home Health IncCertificate of Waiver, Home health agency05D2174697
- Advanced Pain Diagnostic & SolutionsCertificate of Waiver, Physician office05D2178230
- Adventist Health Physician NetworkCertificate of Waiver, Physician office05D1031374
- Adventist Health Physician NetworkCertificate of Waiver, Physician office05D2063710
- Adventist Health Physician NetworkCertificate of Waiver, Community clinic05D2107242
- Adventist Health Physician NetworkCertificate of Waiver, Physician office05D2319936
- Adventist Health Physician NetworkCertificate of Waiver, Physician office05D2320671
Related
Questions
What is the CLIA number for Peach Tree Medical Van in Yuba City?
05D2294554, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peach Tree Medical Van hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2294554 expire?
The CMS file lists November 27, 2027 as the certificate expiration date; the certificate took effect November 28, 2025.