CLIA lab
CLIA 05D0698999: Mact Medical, Jackson
Jackson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0698999 belongs to Mact Medical, Jackson in Jackson, CA.
Certificate for Provider-Performed Microscopy Procedures, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 1993
- Facility type
- Other
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0698999
- Lab name
- Mact Medical, Jackson
- Address
- 12140 New York Ranch Road, Jackson, CA 95642
- Phone
- (209) 754-6262
- Fax
- (209) 754-6275
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 200
- Total
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jackson, CA
- Amador Family Physicians Medical CorporationCertificate for Provider-Performed Microscopy Procedures, Physician office05D0984183
- Hospice of Amador & CalaverasCertificate of Waiver, Hospice05D0926617
- Irc-Sutter Health Jackson, LLCCertificate of Waiver, End stage renal disease dialysis facility05D2302474
- Jackson Rancheria Medical CenterCertificate of Waiver, Physician office05D2074377
- Kit Carson Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility05D0725688
- Mact Dental, JacksonCertificate of Waiver, Ancillary test site05D2216008
- Safeway Pharmacy #2778Certificate of Waiver, Pharmacy05D2079747
- Sierra Eyecare AssociatesCertificate of Waiver, Other practitioner05D2173099
- Sutter Amador Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center05D1036653
- Sutter-Amador Hospital LaboratoryCertificate of Accreditation, Hospital05D0063882
Related
Questions
What is the CLIA number for Mact Medical, Jackson in Jackson?
05D0698999, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mact Medical, Jackson hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0698999 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.