CLIA lab
CLIA 05D0662754: Golden State Amdreas Care Center
San Andreas, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0662754 belongs to Golden State Amdreas Care Center in San Andreas, 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
- December 15, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 05D0662754
- Lab name
- Golden State Amdreas Care Center
- Address
- 900 Mt Ranch Rd, San Andreas, CA 95249
- Phone
- (209) 754-3823
- Fax
- (209) 754-5621
Annual test volume the lab reported
- Waived tests
- 15,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Andreas, CA
- Calaveras County Health DepartmentCertificate of Waiver, Other05D0609784
- California Forensic Medical Group IncCertificate of Waiver, Other05D2155235
- Family Medical Center - San AndreasCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D2001819
- Mact Dental, San AndreasCertificate of Waiver, Ancillary test site05D2216019
- Mact Medical San AndreasCertificate of Waiver, Community clinic05D1084391
- Mark Twain Medical CenterCertificate of Accreditation, Hospital05D0609782
- Stockton Cardiology Medical Group - San AndreasCertificate of Waiver, Physician office05D1100593
Related
Questions
What is the CLIA number for Golden State Amdreas Care Center in San Andreas?
05D0662754, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden State Amdreas Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0662754 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.