CLIA lab
CLIA 05D0617355: Wolf Creek Care Center
Grass Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0617355 belongs to Wolf Creek Care Center in Grass Valley, CA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 14, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 05D0617355
- Lab name
- Wolf Creek Care Center
- Address
- 107 Catherine Lane, Grass Valley, CA 95945
- Phone
- (530) 273-4447
Annual test volume the lab reported
- Waived tests
- 25,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Wolf Creek Care CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Grass Valley, CA
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D2138928
- Amethyst Medical Group, IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0954194
- Bouchier-Pritchett Family Medicine, PCCertificate of Waiver, Physician office05D2142184
- Claydon Medical GroupCertificate of Waiver, Physician office05D2152740
- Crystal Ridge Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0617357
- DR Michael AndyaCertificate of Waiver, Physician office05D0975257
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Other05D0916422
- Dignity Health Medical FoundationCertificate of Waiver, Physician office05D0920511
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D1099287
- Dignity Health Medical FoundationCertificate for Provider-Performed Microscopy Procedures, Physician office05D2010527
Related
Questions
What is the CLIA number for Wolf Creek Care Center in Grass Valley?
05D0617355, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wolf Creek Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0617355 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.