CLIA lab
CLIA 05D0612009: Adventist Health Mendocino Coast
Fort Bragg, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0612009 belongs to Adventist Health Mendocino Coast in Fort Bragg, CA.
Certificate of Accreditation, effective January 3, 2025, expires January 2, 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 Accreditation
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 15, 1993
- Facility type
- Hospital
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
- 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
- 05D0612009
- Lab name
- Adventist Health Mendocino Coast
- Address
- 700 River Dr, Fort Bragg, CA 95437
- Phone
- (707) 961-4659
- Fax
- (707) 961-4784
Annual test volume the lab reported
- Waived tests
- 25,000
- Tests under accreditation
- 439,844
- Total
- 464,844
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Adventist Health Mendocino CoastCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Fort Bragg, CA
- Adventist Health Ukiah Valley (Ahuv)Certificate of Waiver, Rural health clinic05D0612017
- Dci - Fort BraggCertificate of Waiver, End stage renal disease dialysis facility05D1057444
- Mendocino Coast Adventist HealthCertificate of Waiver, Rural health clinic05D0611996
- Safeway Pharmacy #978Certificate of Waiver, Pharmacy05D2064268
- Sherwood Oaks Post Acute Care LLCCertificate of Waiver, Skilled nursing or nursing facility05D0612016
Related
Questions
What is the CLIA number for Adventist Health Mendocino Coast in Fort Bragg?
05D0612009, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Mendocino Coast hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 05D0612009 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.