CLIA lab
CLIA 05D0612624: Baechtel Creek Medical Clinic
Willits, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0612624 belongs to Baechtel Creek Medical Clinic in Willits, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 30, 2025, expires September 29, 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 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 05D0612624
- Lab name
- Baechtel Creek Medical Clinic
- Address
- 1245 South Main Street, Willits, CA 95490
- Phone
- (707) 459-6861
- Fax
- (707) 459-3057
Annual test volume the lab reported
- Waived tests
- 1,500
- Provider-performed microscopy tests
- 20
- Total
- 1,520
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Willits, CA
- Adventist Health Howard MemorialCertificate of Accreditation, Hospital05D0682844
- Ahhm Dawsons Center- Specialty ClinicCertificate of Waiver, Other05D2335944
- John Williams DOCertificate of Waiver, Other practitioner05D0947558
- Kimberly Faucher, MDCertificate of Waiver, Physician office05D1098501
- Northbrook Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility05D0612626
- Safeway Pharmacy #0965Certificate of Waiver, Pharmacy05D2268618
- Willits Hospital IncCertificate of Waiver, Rural health clinic05D2094607
Related
Questions
What is the CLIA number for Baechtel Creek Medical Clinic in Willits?
05D0612624, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baechtel Creek Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0612624 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.