CLIA lab

CLIA 05D2331076: Redwood Family Dermatology-Lakeport

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

CLIA number 05D2331076 belongs to Redwood Family Dermatology-Lakeport in Lakeport, CA.

Certificate for Provider-Performed Microscopy Procedures, effective September 25, 2025, expires September 24, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 25, 2025
Certificate expiration
September 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 25, 2025
Facility type
Physician office
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
05D2331076
Lab name
Redwood Family Dermatology-Lakeport
Address
5150 Hill Rd East, Suite D, Lakeport, CA 95453
Phone
(707) 542-6313
Fax
(707) 642-3363

Annual test volume the lab reported

Waived tests
300
Provider-performed microscopy tests
15
Total
315

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

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Related

Questions

What is the CLIA number for Redwood Family Dermatology-Lakeport in Lakeport?

05D2331076, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Redwood Family Dermatology-Lakeport hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D2331076 expire?

The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.

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