CLIA lab

CLIA 05D0856445: Mendocino Community Health Clinic Inc

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

CLIA number 05D0856445 belongs to Mendocino Community Health Clinic Inc in Ukiah, CA.

Certificate for Provider-Performed Microscopy Procedures, effective April 20, 2025, expires April 19, 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 for Provider-Performed Microscopy Procedures
Certificate effective
April 20, 2025
Certificate expiration
April 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 30, 1992
Facility type
Federally qualified health center
Ownership (control type)
Private
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
05D0856445
Lab name
Mendocino Community Health Clinic Inc
Address
333 Laws Avenue, Ukiah, CA 95482
Phone
(707) 472-4620

Annual test volume the lab reported

Waived tests
14,904
Provider-performed microscopy tests
50
Total
14,954

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

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Related

Questions

What is the CLIA number for Mendocino Community Health Clinic Inc in Ukiah?

05D0856445, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mendocino Community Health Clinic Inc hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 05D0856445 expire?

The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.

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