CLIA lab
CLIA 05D0612017: Adventist Health Ukiah Valley (Ahuv)
Fort Bragg, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0612017 belongs to Adventist Health Ukiah Valley (Ahuv) in Fort Bragg, CA.
Certificate of Waiver, effective August 1, 2025, expires July 31, 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
- August 1, 2025
- Certificate expiration
- July 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Rural health clinic
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0612017
- Lab name
- Adventist Health Ukiah Valley (Ahuv)
- Address
- 850 Sequoia Circle, Fort Bragg, CA 95437
- Phone
- (847) 877-9025
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fort Bragg, CA
- Adventist Health Mendocino CoastCertificate of Accreditation, Hospital05D0612009
- 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 Ukiah Valley (Ahuv) in Fort Bragg?
05D0612017, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Ukiah Valley (Ahuv) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0612017 expire?
The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.