CLIA lab
CLIA 05D0613074: Willow Creek/Six Rivers Medical Center
Willow Creek, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0613074 belongs to Willow Creek/Six Rivers Medical Center in Willow Creek, CA.
Certificate for Provider-Performed Microscopy Procedures, effective January 23, 2025, expires January 22, 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
- January 23, 2025
- Certificate expiration
- January 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 1993
- Facility type
- Rural health clinic
- 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
- 05D0613074
- Lab name
- Willow Creek/Six Rivers Medical Center
- Address
- 850 State Highway 96, Willow Creek, CA 95573
- Phone
- (530) 629-3338
- Fax
- (530) 620-5815
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 10
- Total
- 210
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Willow Creek, CA
Related
Questions
What is the CLIA number for Willow Creek/Six Rivers Medical Center in Willow Creek?
05D0613074, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willow Creek/Six Rivers Medical Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0613074 expire?
The CMS file lists January 22, 2027 as the certificate expiration date; the certificate took effect January 23, 2025.