CLIA lab

CLIA 05D0665802: United Health Centers of the San Joaquin Valley-

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

CLIA number 05D0665802 belongs to United Health Centers of the San Joaquin Valley- in Mendota, CA.

Certificate of Waiver, effective June 11, 2025, expires June 10, 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
June 11, 2025
Certificate expiration
June 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Federally qualified health center
Ownership (control type)
Other
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
05D0665802
Lab name
United Health Centers of the San Joaquin Valley-
Additional name
Mendota
Address
121 Barboza St, Mendota, CA 93640
Phone
(559) 655-5000
Fax
(559) 891-9005

Annual test volume the lab reported

Waived tests
9,000

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

Other labs in Mendota, CA

Related

Questions

What is the CLIA number for United Health Centers of the San Joaquin Valley- in Mendota?

05D0665802, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does United Health Centers of the San Joaquin Valley- hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0665802 expire?

The CMS file lists June 10, 2027 as the certificate expiration date; the certificate took effect June 11, 2025.

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