CLIA lab
CLIA 05D0725688: Kit Carson Nursing and Rehabilitation
Jackson, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0725688 belongs to Kit Carson Nursing and Rehabilitation in Jackson, 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
- June 3, 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
- 05D0725688
- Lab name
- Kit Carson Nursing and Rehabilitation
- Address
- 811 Court St, Jackson, CA 95642
- Phone
- (209) 223-2231
- Fax
- (209) 223-4659
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Kit Carson Nursing & Rehabilitation CenterCMS Care Compare ratings for the facility at the same street address
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
- Mact Dental, JacksonCertificate of Waiver, Ancillary test site05D2216008
- Mact Medical, JacksonCertificate for Provider-Performed Microscopy Procedures, Other05D0698999
- 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 Kit Carson Nursing and Rehabilitation in Jackson?
05D0725688, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kit Carson Nursing and Rehabilitation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0725688 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.