CLIA lab
CLIA 05D2335954: Shady Oaks Healthcare
Vallejo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2335954 belongs to Shady Oaks Healthcare in Vallejo, CA.
Certificate of Waiver, effective December 19, 2025, expires December 18, 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
- December 19, 2025
- Certificate expiration
- December 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 2025
- Facility type
- Other
- 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
- 05D2335954
- Lab name
- Shady Oaks Healthcare
- Address
- 118 University Dr, Vallejo, CA 94591
- Phone
- (888) 668-4084
- Fax
- (707) 366-6985
Annual test volume the lab reported
- Waived tests
- 6
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 Shady Oaks Healthcare in Vallejo?
05D2335954, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shady Oaks Healthcare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2335954 expire?
The CMS file lists December 18, 2027 as the certificate expiration date; the certificate took effect December 19, 2025.