Despite the increasing use of large-scale Land Surface Models (LSMs) in predicting hydrological responses in extreme conditions, there's a critical gap in understanding the uncertainties in these predictions. This study addresses this gap through a detailed diagnostic evaluation of the uncertainties arising from meteorological forcing selection and model parametrization in hydrological simulations of the Community Land Model version 5 (CLM5). CLM5 is configured at a spatial scale of about 12-km to simulate runoff processes for 464 headwater watersheds, selected from the Catchment Attributes for Large-Sample Studies (CAMELS) data set to be representative of physiographic and climatic gradients across the conterminous United States. For each watershed, CLM5 is driven by five commonly used gridded forcing data sets in combination with a large ensemble (>1,200) of key CLM5 hydrologic parameters. Our results suggest that uncertainty in CLM5 runoff simulations resulting from both forcing and parametric sources is markedly higher in arid regions, for example, Great Plains and Midwest regions. Uncertainty in low flow is dominated by parametric uncertainty, while the selection of meteorological forcing contributes more dominantly to high flow and seasonal flows during fall and spring. Our analysis also demonstrates that the selection of forcing data sets and the metrics used to calibrate CLM5 significantly impact the model's predictive accuracy in extreme event severity for both floods and droughts. Overall, the results from this study highlight the need to understand and account for forcing and parametric uncertainties in CLM5 simulations, particularly for hazard and risk assessments addressing hydrologic extremes.