CLIA lab

CLIA 05D0617228: Western Sierra Medical Clinic

Downieville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0617228 belongs to Western Sierra Medical Clinic in Downieville, CA.

Certificate of Waiver, effective August 22, 2025, expires August 21, 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 22, 2025
Certificate expiration
August 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 24, 1992
Facility type
Federally qualified health center
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0617228
Lab name
Western Sierra Medical Clinic
Address
209 Nevada St, Downieville, CA 95936
Phone
(530) 802-2706
Fax
(530) 273-4573

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Related

Questions

What is the CLIA number for Western Sierra Medical Clinic in Downieville?

05D0617228, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Western Sierra Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0617228 expire?

The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.

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