CLIA lab
CLIA 05D0704971: Crestwood Geriatric Treatment Center
Angwin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0704971 belongs to Crestwood Geriatric Treatment Center in Angwin, 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
- May 10, 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
- 05D0704971
- Lab name
- Crestwood Geriatric Treatment Center
- Address
- 295 Pine Breeze Dr, Angwin, CA 94508
- Phone
- (707) 965-2461
Annual test volume the lab reported
- Waived tests
- 1,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Crestwood Geriatric Treatment Center in Angwin?
05D0704971, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crestwood Geriatric Treatment Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0704971 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.